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Individual

MR. JOHNNY RICHARD STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
307D WEST 16TH, STE D, BIG SPRING, TX 79720
(432) 267-3657
(432) 267-3658
Mailing address
307D WEST 16TH, STE D, BIG SPRING, TX 79720
(432) 267-3657
(432) 267-3658

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AS8801450
TX

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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