Individual
PRESTON LEE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6161 LAKE BRANDT RD UNIT A, GREENSBORO, NC 27455-8415
(336) 643-1440
Mailing address
4416 YANCEYVILLE RD, BROWNS SUMMIT, NC 27214-9206
(336) 601-8033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10994
NC
1223G0001X
General Practice Dentistry
Primary
10994
NC
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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