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Individual

DR. STANLEY MARK KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
901 RANCHO LN, SUITE 270, LAS VEGAS, NV 89106-3836
(702) 636-3060
(702) 636-3057
Mailing address
7917 FANTAIL DR, NORTH LAS VEGAS, NV 89084-2439
(702) 399-5956

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3504
VA
1223G0001X
General Practice Dentistry
4116
FL
1223G0001X
General Practice Dentistry
Primary
4993T
NV

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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