Individual
GENKO STANILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 ELM PLZ, WATERVILLE, ME 04901-4936
(207) 873-0110
(207) 873-6379
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 464-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4186
ME
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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