Individual
JEFFREY STATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
477 S MAIN ST, BRADFORD, MA 01835-7247
(978) 373-5666
Mailing address
477 S MAIN ST, BRADFORD, MA 01835-7247
(978) 373-5666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22308
MA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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