Dr. Mark Laverne Stafford, DDS
Dentist, General Practice in Santa Monica, CA. Individual provider (NPI-1).
NPI number1457516155
StatusActive
Last updated in NPPESJul 22, 2008
Details
- NPI
- 1457516155
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Laverne Stafford
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2008
- Last updated
- Jul 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 28986 | CA | Yes |
Practice location
1460 7th Street#205
Santa Monica, CA 90401
Phone 310-393-8317 · Fax 310-458-8804
Mailing address
1460 7th Street#205
Santa Monica, CA 90401
Phone 310-393-8317 · Fax 310-458-8804
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All 118 General Practice Dentistry providers in Santa Monica · All 6,518 providers in Santa Monica
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