Individual
KEVIN STANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
655 SOUTH 7TH STREET BLDG 700/700-A, 78 MDG/SGHC, ROBINS AFB, GA 31098
(478) 327-8487
Mailing address
655 SOUTH 7TH STREET BLDG 700/700A, 78 MDG/SGHC, ROBINS AFB, GA 31098
(478) 327-8487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000007286
TN
Other
Enumeration date
09/29/2005
Last updated
08/23/2011
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