DR. Robert Eugene Stafford, D.D.S.

NPI #1164630257 in Portland, Oregon

Provider Information

NPI Number: 1164630257
Entity Type: Individual
Name: DR. Robert Eugene Stafford, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2020 SE 182ND AVE
City: Portland
State: Oregon
ZIP Code: 97233-5692
Phone: (503) 667-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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