Individual
STANLEY THOMAS CZARNECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
754 N CARROLL AVE, SOUTHLAKE, TX 76092-6413
(817) 488-1150
Mailing address
754 N CARROLL AVE, SOUTHLAKE, TX 76092-6413
(817) 488-1150
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14740
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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