Individual
LOWELL DAVID STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 BEEMAN PL, FORT RILEY, KS 66442-7009
(785) 240-7417
Mailing address
228 BEEMAN PL, FORT RILEY, KS 66442-7009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34513
TX
1223D0001X
Public Health Dentistry
Primary
34513
TX
Other
Enumeration date
08/17/2018
Last updated
04/18/2023
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