| NPI | 1376349803 |
|---|---|
| Doing Business As | STAFFORD SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |