| NPI | 1629089750 |
|---|---|
| Doing Business As | STAFFORD DENTAL |
| Entity Type | Organization |
| Authorized Contact | JANE KRAKOWSKY Business Manager 540-899-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-08-25 |