Organization
BEDFORD DENTAL PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL STIFFLER DDS (PRESIDENT CORP)
(814) 623-2217
Entity
Organization
Contact information
Practice address
902 ECHO VALE DR, BEDFORD, PA 15522
(814) 623-2217
(814) 623-6271
Mailing address
902 ECHO VALE DR, BEDFORD, PA 15522
(814) 623-2217
(814) 623-6271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020764L
PA
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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