Dr. Stanford K. Madsen, DDS
Dentist, General Practice in Mesa, AZ. Individual provider (NPI-1).
NPI number1235202128
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235202128
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stanford K. Madsen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1902 | AZ | Yes |
Practice location
215 S Power RdSuite # 101
Mesa, AZ 85206-5235
Phone 480-981-8698 · Fax 480-981-0995
Mailing address
215 S Power RdSuite # 101
Mesa, AZ 85206-5235
Phone 480-981-8698 · Fax 480-981-0995
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