Individual
BO JAMES STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3901 S LAMAR BLVD STE 400, AUSTIN, TX 78704-7990
(512) 442-7897
Mailing address
3901 S LAMAR BLVD STE 400, AUSTIN, TX 78704-7990
(512) 442-7897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12925
MN
Other
Enumeration date
06/23/2011
Last updated
09/16/2019
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