Individual
CAROL L FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2111 E HIGHLAND AVE, SUITE B-105, PHOENIX, AZ 85016-4741
(602) 955-7788
(602) 544-5755
Mailing address
2111 E HIGHLAND AVE, SUITE B-105, PHOENIX, AZ 85016-4741
(602) 955-7788
(602) 544-5755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3018
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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