Individual
CYNTHIA LYNN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
25590 PROSPECT AVE APT 8E, LOMA LINDA, CA 92354-3144
(909) 915-4523
Mailing address
25590 PROSPECT AVE APT 8E, LOMA LINDA, CA 92354-3144
(909) 915-4523
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
RDA87790
CA
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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