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Individual

DR. MATTHEW P FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
203 E MAIN ST, MELROSE, MN 56352-4524
(320) 256-4267
Mailing address
203 E MAIN ST, MELROSE, MN 56352-4524
(320) 256-4267

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7241
NE
122300000X
Dentist
Primary
D13641
MN

Other

Enumeration date
06/19/2015
Last updated
04/25/2016
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