Individual
DR. JUSTIN BRETT STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 SW ARCHER RD # D7-6, GAINESVILLE, FL 32610-3003
(352) 273-6750
(352) 392-7609
Mailing address
1600 SW ARCHER RD # D7-6, GAINESVILLE, FL 32610-3003
(352) 273-6750
(352) 392-7609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6374
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DRP1308
FL
Other
Enumeration date
05/28/2013
Last updated
06/30/2014
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