MARK LAVERNE STAFFORD

SANTA MONICA, CA
NPI1457516155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  28986)
Enumeration Date2008-07-22
Last Update Date2008-07-22
Business Address
DR. MARK LAVERNE STAFFORD DDS
1460 7TH STREET #205
SANTA MONICA, CA 90401
Phone number: 310-393-8317
Mailing Address
DR. MARK LAVERNE STAFFORD DDS
1460 7TH STREET #205
SANTA MONICA, CA 90401
Phone number: 310-393-8317