| NPI | 1609194604 |
|---|---|
| Doing Business As | STAFFORD FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | BABAK GORAVANCHI Owner 281-564-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |