Individual
DR. DRUECIEL ORLEAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4129 RIVERSIDE DR, CHINO, CA 91710-3183
(909) 591-9211
(909) 613-0601
Mailing address
1560 N ARROYO BLVD, PASADENA, CA 91103-2026
(626) 375-3299
(626) 628-0467
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B26757-01
MEDICAL
CA
Enumeration date
05/26/2009
Last updated
05/26/2009
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