Individual
MELVIN L FORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2875 SABRE STREET, SUITE 260, VIRGINIA BEACH, VA 23452
(757) 499-6886
(757) 499-3464
Mailing address
2875 SABRE STREET, SUITE 260, VIRGINIA BEACH, VA 23452
(757) 499-6886
(757) 499-3464
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401-006024
VA
Other
Enumeration date
11/08/2005
Last updated
06/14/2016
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