Organization
STAUFFER WHITING DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STAUFFER D.M.D. (MEMBER)
(480) 200-0688
Entity
Organization
Contact information
Practice address
36275 N GANTZEL RD STE 100, SAN TAN VALLEY, AZ 85140-7319
(480) 781-4999
Mailing address
36275 N GANTZEL RD STE 100, SAN TAN VALLEY, AZ 85140-7319
(480) 781-4999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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