Individual
DR. MARK A STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
34441 8 MILE RD, SUITE 114, LIVONIA, MI 48152-4013
(248) 476-4500
(248) 478-8451
Mailing address
34441 8 MILE RD, SUITE 114, LIVONIA, MI 48152-4013
(248) 476-4500
(248) 478-8451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15520
MI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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