Individual
DR. KENT ALLEN STASNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 ERLANGER AVE, SLIDELL, LA 70458
(985) 643-4553
(985) 645-0746
Mailing address
240 ERLANGER AVE, SLIDELL, LA 70458
(985) 643-4553
(985) 645-0746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4119
LA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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