Individual
DR. STAN R MAHAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2494 MOORE RD, SUITE 2, TOMS RIVER, NJ 08753-8187
(732) 255-8844
(732) 255-0544
Mailing address
2494 MOORE RD, SUITE 2, TOMS RIVER, NJ 08753-8187
(732) 255-8844
(732) 255-0544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14420
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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