| Stafford Family Dental | |
|
12501 Judson Rd Suite 101 Live Oak TX 78233-4103 | |
| (210) 599-9610 | |
| (210) 946-8119 |
| Full Name | Stafford Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 12501 Judson Rd, Live Oak, Texas |
| Authorized Official Name and Position | Scott G Stafford (PRESIDENT) |
| Authorized Official Contact | 2105999610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Family Dental 12501 Judson Rd Suite101 Live Oak TX 78233-4103 Ph: (210) 599-9610 | Stafford Family Dental 12501 Judson Rd Suite 101 Live Oak TX 78233-4103 Ph: (210) 599-9610 |
| NPI Number | 1093004467 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093004467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18592 (Texas) | Primary |
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