Individual
MARK M. STANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
960 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1803
(973) 731-0054
(973) 731-4369
Mailing address
960 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1803
(973) 731-0054
(973) 731-4369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13673
NJ
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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