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1922475110
BRENT STEWART FORD
JACKSONVILLE, FL
NPI
1922475110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN21556)
Enumeration Date
2015-08-24
Last Update Date
2015-08-31
Business Address
Dr. BRENT STEWART FORD D.M.D.
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212-0140
Phone number: 760-725-3213
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Mailing Address
Dr. BRENT STEWART FORD D.M.D.
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212-0140
Phone number: 760-725-3213
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