Individual
DR. RUSSELL H. FORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
9475 BRIAR VILLAGE PT, SUITE 315, COLORADO SPRINGS, CO 80920-7901
(719) 481-9199
(719) 481-3376
Mailing address
9475 BRIAR VILLAGE PT, SUITE 315, COLORADO SPRINGS, CO 80920-7901
(719) 481-9199
(719) 481-3376
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8618
CO
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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