Individual
CHAELI FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3672 LEXINGTON AVE, BELLEVUE, NE 68123-1321
(402) 292-1200
Mailing address
1920 S 49TH AVE, OMAHA, NE 68106-3204
(402) 658-3394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7650
NE
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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