Individual
DR. KAZMIN STAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 MEHARRY BLVD, NASHVILLE, TN 37203
(619) 600-7080
Mailing address
1002 DIVISION ST APT 307, NASHVILLE, TN 37203-5110
(619) 600-7080
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
018002236
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12471
TN
Other
Enumeration date
06/29/2023
Last updated
07/23/2024
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