Individual
DR. GEORGE WILLIAM FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
605A BEAVER RUIN ROAD, LILBURN, GA 30047-3430
(770) 381-0703
(770) 381-6310
Mailing address
605A BEAVER RUIN ROAD, LILBURN, GA 30047-3430
(770) 381-0703
(770) 381-6310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9312
GA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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