Individual
RICHARD STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE 721, LOS ANGELES, CA 90004-3025
(323) 856-9502
Mailing address
321 N LARCHMONT BLVD, SUITE 721, LOS ANGELES, CA 90004-3025
(323) 856-9502
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
27491
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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