Individual
STANLEY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5151 S FEDERAL BLVD, G-2, LITTLETON, CO 80123-2975
(303) 795-1107
(303) 795-1196
Mailing address
5151 S FEDERAL BLVD, G-2, LITTLETON, CO 80123-2975
(303) 795-1107
(303) 795-1196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10365
CO
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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