Organization
NAMU DENTAL STAFFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA COOK (OFFICE MANAGER)
(281) 723-1175
Entity
Organization
Contact information
Practice address
400 CORPORATE DR STE 200, STAFFORD, VA 22554-4898
(540) 288-9212
Mailing address
400 CORPORATE DR STE 200, STAFFORD, VA 22554-4898
(540) 288-9212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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