| NPI | 1205253978 |
|---|---|
| Other Name | STAFFORD SMILES COSMETIC & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA REATEGUI Owner/Dentist 540-659-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413627) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-06-09 |