| NPI | 1114020385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H STANFORD Dentist 636-256-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014346) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-03-21 |