Michael Stafford, Dds, Pllc

NPI #1639625072 in Zillah, Washington

Provider Information

NPI Number: 1639625072
Entity Type: Organization
Organization Name: Michael Stafford, Dds, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 26, 2016
Last Updated: Aug 26, 2016

Practice Location

Address: 111 1ST AVE
City: Zillah
State: Washington
ZIP Code: 98953-9779
Phone: (509) 829-6611

Authorized Official

Name: ANDREA STAFFORD, MSW
Title: ADMINISTRATOR
Phone: (509) 829-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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