Individual
RICHARD BRANDON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1707 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2351
(702) 774-2816
Mailing address
1001 SHADOW LN, BLDG A 204G, LAS VEGAS, NV 89106-4124
(702) 774-2816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LL-223-10
NV
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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