Individual
DR. STANLEY A ALTIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7500 TOWN CENTRE DR, SUITE 100, BROADVIEW HEIGHTS, OH 44147-4009
(440) 526-7277
(440) 526-0320
Mailing address
7500 TOWN CENTRE DR, STE 100, BROADVIEW HEIGHTS, OH 44147-4048
(440) 526-7277
(440) 526-0320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17724
OH
Other
Enumeration date
08/18/2006
Last updated
09/28/2016
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