Organization
STANFORD DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN T. STANFORD D.D.S (OWNER)
(662) 837-7822
Entity
Organization
Contact information
Practice address
306 N COMMERCE ST, RIPLEY, MS 38663-1721
(662) 837-7822
(662) 837-1076
Mailing address
306 N COMMERCE ST, RIPLEY, MS 38663-1721
(662) 837-7822
(662) 837-1076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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