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Organization

STOREHOUSE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STAFFORD GARFIELD CONLEY JR. DDS (OWNER)
(301) 218-2454
Entity
Organization

Contact information

Practice address
1540 POINTER RIDGE PL, SUITE A, BOWIE, MD 20716-1881
(301) 218-2454
(301) 218-2455
Mailing address
1540 POINTER RIDGE PL, SUITE A, BOWIE, MD 20716-1881
(301) 218-2454
(301) 218-2455

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14231
MD

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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