Individual
DR. MICHAEL DOUGLAS STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 1ST AVE, ZILLAH, WA 98953-9779
(509) 829-6611
(509) 829-6663
Mailing address
PO BOX 537, ZILLAH, WA 98953-0537
(509) 895-4066
(509) 829-6663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0102
MP
122300000X
Dentist
D8320
OR
122300000X
Dentist
Primary
DE60338396
WA
Other
Enumeration date
03/05/2009
Last updated
01/15/2024
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