| NPI | 1255612479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA B FORD Endodontist/Owner 304-690-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WV 3581) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |