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Organization
SCOTT GORDEN STAFFORD, DDS, PC
Active
Organization
SCOTT GORDEN STAFFORD, DDS, PC
Active
Other names
Stafford Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT G STAFFORD DDS (PRESIDENT)
(210) 599-9610
Entity
Organization
Contact information
Practice address
12501 JUDSON RD, SUITE 101, LIVE OAK, TX 78233-4103
(210) 599-9610
(210) 946-8119
Mailing address
12501 JUDSON RD, SUITE101, LIVE OAK, TX 78233-4103
(210) 599-9610
(210) 946-8119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18592
TX
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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