Individual
LORA BETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
112 MORRIS ST, CHARLESTON, WV 25301-2911
(304) 343-2799
Mailing address
1027 CRESTMONT RD, HURRICANE, WV 25526-7402
(304) 562-5007
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3581
WV
Other
Enumeration date
11/15/2006
Last updated
08/03/2011
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