Individual
JACOB TANT STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1551 W PARKS HWY, WASILLA, AK 99654-6933
(907) 357-6684
Mailing address
1551 W PARKS HWY, WASILLA, AK 99654-6933
(907) 357-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
210383
AK
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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