Individual
DR. JAN STEVEN STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
345 FROST POND RD, GLEN HEAD, NY 11545-2402
(516) 697-5213
Mailing address
345 FROST POND RD, GLEN HEAD, NY 11545-2402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30676
NY
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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