Individual
DR. MATTHEW EDWARD FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20241 N 67TH AVE STE A3, GLENDALE, AZ 85308-6658
(623) 561-1991
Mailing address
6097 E MAPLE AVE, GRAND BLANC, MI 48439-9171
(810) 625-9889
(810) 744-4080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6891
AZ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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