Jennifer M Stafford, DDS
NPI #1811151574 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1811151574
- Entity Type
- Individual
- Name
- Jennifer M Stafford, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 201 SHERMAN AVE WEST
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538
- Phone
- (920) 563-7323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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