Individual
DOUGLAS SCOTT STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1090 E BRANDON BLVD, BRANDON, FL 33511-5509
(813) 655-9900
(813) 655-9901
Mailing address
1619 DAWNRIDGE CT, BRANDON, FL 33510-2039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12972
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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