Larry M. Ford, DDS

NPI #1184845950 in Sebastopol, California

Provider Information

NPI Number: 1184845950
Entity Type: Individual
Name: Larry M. Ford, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 120 PLEASANT HILL AVENUE NORTH #110
City: Sebastopol
State: California
ZIP Code: 95472
Phone: (707) 823-6481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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