Individual
MR. JARED T FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
47 BARKLEY CIR, FORT MYERS, FL 33907-7734
(239) 357-0845
Mailing address
8550 BELLE MEADE DR, FORT MYERS, FL 33908-6010
(239) 357-0848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18806
FL
Other
Enumeration date
07/13/2009
Last updated
06/21/2011
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