Individual
JAMES STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
663 BIG BEND RD, BALLWIN, MO 63021-7723
(636) 256-3559
Mailing address
17456 HIGHLAND WAY DR, CHESTERFIELD, MO 63005-4255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014346
MO
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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