| Kimberly Marie Ford, Dds, Llc | |
|
3505 Ellicott Mills Dr Ste B2 Ellicott City MD 21043-4578 | |
| (410) 461-3311 | |
| (410) 750-7348 |
| Full Name | Kimberly Marie Ford, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3505 Ellicott Mills Dr Ste B2, Ellicott City, Maryland |
| Authorized Official Name and Position | Kimberly Marie Ford (OWNER) |
| Authorized Official Contact | 4438674928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Marie Ford, Dds, Llc 3505 Ellicott Mills Dr Ste B2 Ellicott City MD 21043-4578 Ph: (410) 461-3311 | Kimberly Marie Ford, Dds, Llc 3505 Ellicott Mills Dr Ste B2 Ellicott City MD 21043-4578 Ph: (410) 461-3311 |
| NPI Number | 1093287211 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093287211 | NPI | - | NPPES |
| 1023397502 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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