| Stafford Family Dentist | |
|
11753 W Bellfort St 116 Stafford TX 77477-1327 | |
| (281) 564-0117 | |
| (281) 564-0132 |
| Full Name | Stafford Family Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11753 W Bellfort St, Stafford, Texas |
| Authorized Official Name and Position | Babak Goravanchi (OWNER) |
| Authorized Official Contact | 2815640117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Family Dentist 11753 W Bellfort St 116 Stafford TX 77477-1327 Ph: (281) 564-0117 | Stafford Family Dentist 11753 W Bellfort St 116 Stafford TX 77477-1327 Ph: (281) 564-0117 |
| NPI Number | 1609194604 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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