Individual
MR. BREJAUN D FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 N UNIVERSITY DR STE 202, CORAL SPRINGS, FL 33065-5053
(954) 688-6888
Mailing address
3555 W ATLANTIC BLVD APT 507, POMPANO BEACH, FL 33069-2574
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
257571
FL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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