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1801053947
MICHELLE D STAFFORD
PORTLAND, OR
NPI
1801053947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OR D9074)
Enumeration Date
2008-05-16
Last Update Date
2008-05-16
Business Address
Dr. MICHELLE D STAFFORD D.D.S.
11790 SW BARNES RD BLDG A SUITE 280
PORTLAND, OR 97225-5934
Phone number: 503-555-5555
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Mailing Address
Dr. MICHELLE D STAFFORD D.D.S.
11790 SW BARNES RD BLDG A SUITE 280
PORTLAND, OR 97225-5934
Phone number:
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