Individual
MICHAEL STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
975 E RIGGS RD STE 8, CHANDLER, AZ 85249-4260
(480) 630-9487
Mailing address
19820 N 13TH AVE UNIT 282, PHOENIX, AZ 85027-4319
(602) 819-3379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011056
AZ
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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