Individual
DR. JOHN E STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9220 ELLERBE RD, SUITE 100, SHREVEPORT, LA 71106
(318) 868-0830
(318) 868-7260
Mailing address
9220 ELLERBE RD, SUITE 100, SHREVEPORT, LA 71106
(318) 868-0830
(318) 868-7260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3233
LA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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