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1457516155
MARK LAVERNE STAFFORD
SANTA MONICA, CA
NPI
1457516155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 28986)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
DR. MARK LAVERNE STAFFORD DDS
1460 7TH STREET #205
SANTA MONICA, CA 90401
Phone number: 310-393-8317
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Mailing Address
DR. MARK LAVERNE STAFFORD DDS
1460 7TH STREET #205
SANTA MONICA, CA 90401
Phone number: 310-393-8317
Copy
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