Individual
DEAN FORD SOPHOCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
350 S PROVIDENCE ROAD, MEDIA, PA 19063
(610) 566-3326
Mailing address
350 S PROVIDENCE ROAD, MEDIA, PA 19063
(610) 566-3326
(610) 566-6702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5025735L
PA
1223G0001X
General Practice Dentistry
DS025735L
PA
Other
Enumeration date
11/02/2006
Last updated
05/18/2016
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