Individual
DR. THOMAS MICHAEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 S 300 E, PROVO, UT 84606-3201
(801) 375-8770
(801) 375-0397
Mailing address
10 S 300 E, PROVO, UT 84606-3201
(801) 375-8770
(801) 375-0397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
137288-9922
UT
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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