Individual
DR. GARY BRIAN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 722-2180
Mailing address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 722-2180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013827
MI
1223G0001X
General Practice Dentistry
5315137548
MI
Other
Enumeration date
04/25/2007
Last updated
09/08/2021
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