Organization
DAYTON VA MEDICAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STANCZYK DDS (AUTHORIZED OFFICIAL)
(937) 262-2102
Entity
Organization
Contact information
Practice address
4100 W 3RD ST, DAYTON VAMC DENTAL SERVICES (160), DAYTON, OH 45428-9000
(937) 262-2102
Mailing address
4100 W 3RD ST, DAYTON VAMC DENTAL SERVICES (160), DAYTON, OH 45428-9000
(937) 262-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES.3597
OH
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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