| Ford Avenue Family Dentistry, Llc | |
|
10230 Ford Ave Richmond Hill GA 31324-8854 | |
| (912) 756-2936 | |
| Not Available |
| Full Name | Ford Avenue Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 10230 Ford Ave, Richmond Hill, Georgia |
| Authorized Official Name and Position | Ray Linton Wallace (DENTIST) |
| Authorized Official Contact | 9126952801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ford Avenue Family Dentistry, Llc 10230 Ford Ave Richmond Hill GA 31324-8854 Ph: () - | Ford Avenue Family Dentistry, Llc 10230 Ford Ave Richmond Hill GA 31324-8854 Ph: (912) 756-2936 |
| NPI Number | 1619444981 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619444981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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