| Gregory W Staffon Dds A Dental Corporation | |
|
2815 Jefferson St Ste 300 Carlsbad CA 92008-1717 | |
| (760) 434-3103 | |
| (760) 434-3108 |
| Full Name | Gregory W Staffon Dds A Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2815 Jefferson St Ste 300, Carlsbad, California |
| Authorized Official Name and Position | Gregory W Staffon (PRESIDENT) |
| Authorized Official Contact | 7604343103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W Staffon Dds A Dental Corporation Po Box 6187 Laguna Niguel CA 92607-6187 Ph: (949) 280-9871 | Gregory W Staffon Dds A Dental Corporation 2815 Jefferson St Ste 300 Carlsbad CA 92008-1717 Ph: (760) 434-3103 |
| NPI Number | 1780729475 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780729475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32616 (California) | Primary |
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