Individual provider · Type 1 NPI

Mark Laverne Stafford, DDS

General Practice Dentistry · Santa Monica, CA

NPI number 1457516155 Active

About NPI 1457516155

Mark Laverne Stafford, DDS's National Provider Identifier is 1457516155, issued on Jul 22, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 22, 2008.