Organization
STAFFORD GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY STAFFORD (DENTIST/MEMEBER)
(330) 832-7434
Entity
Organization
Contact information
Practice address
2400 WALES AVE NW, MASSILLON, OH 44646-0804
(330) 832-7434
(330) 832-2828
Mailing address
2400 WALES AVE NW, MASSILLON, OH 44646-0804
(330) 832-7434
(330) 832-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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