Individual
DR. ANDREW EDWARD STANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1919 LATHROP ST, SUITE 210, FAIRBANKS, AK 99701-5930
(907) 452-1200
(907) 452-1352
Mailing address
1919 LATHROP ST., SUITE 210, FAIRBANKS, AK 99701-5942
(907) 452-1200
(907) 452-1352
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
AA 645
AK
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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