Individual
ALEX STANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
406 ROLLING HILLS DR, FAIRFIELD, CT 06824-7838
(203) 362-9459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12860
CT
Other
Enumeration date
06/28/2019
Last updated
09/18/2020
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