Individual
DR. BRIAN WILLIAM STANCOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 JARRETT WHITE ROAD, BLDG 320 KRUKOWSKI STREET, USA DENTAC, TRIPLER AMC, HI 96859-5000
(808) 433-1021
(808) 433-3928
Mailing address
1 JARRETT WHITE ROAD, US ARMY DENTAL ACTIVITY HAWAII, TRIPLER AMC, HI 96859
(808) 433-1021
(808) 433-3928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21833
TX
1223P0300X
Periodontics
Primary
0021833
TX
Other
Enumeration date
04/28/2006
Last updated
05/25/2016
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