| NPI | 1467882654 |
|---|---|
| Doing Business As | STAFFORD SMILES COSMETIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM SCHULTE Dentisit /Owner 540-659-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 040413627) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401005624) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |