Organization
STANFORD DENTAL,PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A STANFORD (OWNER)
(248) 476-4500
Entity
Organization
Contact information
Practice address
34441 8 MILE RD, SUITE 114, LIVONIA, MI 48152-4013
(248) 476-4500
(248) 478-8451
Mailing address
34441 8 MILE RD, LIVONIA, MI 48152-4013
(248) 476-4500
(248) 478-8451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15520
MI
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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