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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 GORDEN STAFFORD D.D.S. (PRESIDENT - OWNER)
(830) 980-3381
Entity
Organization
Contact information
Practice address
30695 NORTH HIGHWAY 281, BULVERDE, TX 78163
(830) 980-3381
Mailing address
13414 LA VISTA DR, SAN ANTONIO, TX 78216-2205
(830) 980-3381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18592
TX
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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