# DR. KAZMIN STAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326725599
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 018002236 | IL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 12471 | TN | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 07/23/2024