Individual
DR. STANFORD K. MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 S POWER RD, SUITE # 101, MESA, AZ 85206-5235
(480) 981-8698
(480) 981-0995
Mailing address
215 S POWER RD, SUITE # 101, MESA, AZ 85206-5235
(480) 981-8698
(480) 981-0995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1902
AZ
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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