| NPI | 1073057741 |
|---|---|
| Doing Business As | NEW SMILES DENTAL STAFFORD |
| Entity Type | Organization |
| Authorized Contact | WENDY TAVARA Office Manager 540-720-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411466) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |