Individual
DR. ROBERT E STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
369 E BROAD ST, WINDER, GA 30680-2278
(770) 867-2277
Mailing address
369 E BROAD ST, WINDER, GA 30680-2278
(770) 867-2277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009836
GA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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