Individual
ADAM FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E UNIVERSITY DR, MESA, AZ 85203-7927
(480) 610-5100
(480) 610-5111
Mailing address
4435 E HOLMES AVE, MESA, AZ 85206-3372
(480) 889-9457
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23024
TX
1223G0001X
General Practice Dentistry
Primary
D008196
AZ
Other
Enumeration date
12/04/2006
Last updated
10/16/2015
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