Individual
DR. STACI N GAFFOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360
(803) 788-4081
Mailing address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360
(803) 788-4081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1270
SC
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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