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Organization
STOREHOUSE DENTAL
Active
Organization
STOREHOUSE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAFFORD GARFIELD CONLEY JR. DDS (OWNER)
(301) 218-2454
Entity
Organization
Contact information
Practice address
1540 POINTER RIDGE PL, SUITE A, BOWIE, MD 20716-1881
(301) 218-2454
(301) 218-2455
Mailing address
1540 POINTER RIDGE PL, SUITE A, BOWIE, MD 20716-1881
(301) 218-2454
(301) 218-2455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14231
MD
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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