Individual
MR. STANLEY JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,PC
Contact information
Practice address
17 PIERCE AVE, SUITE A, FITCHBURG, MA 01420-7111
(978) 345-4185
(978) 345-8732
Mailing address
17 PIERCE AVE, SUITE A, FITCHBURG, MA 01420
(978) 345-4185
(978) 345-8732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14906
MA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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