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1184701310
JON CARL STANFORD
MEMPHIS, TN
NPI
1184701310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS003629)
Enumeration Date
2006-11-01
Last Update Date
2014-10-23
Business Address
Dr. JON CARL STANFORD D.D.S.
3596 PARK AVE
MEMPHIS, TN 38111-5622
Phone number: 901-458-2617
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Mailing Address
Dr. JON CARL STANFORD D.D.S.
3596 PARK AVE
MEMPHIS, TN 38111-5622
Phone number: 901-458-2617
Copy
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