Individual
DR. JASON NICHOLAS STAMBOULIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 LEGACY DR, SUITE 230, FRISCO, TX 75034-5983
(214) 385-1476
Mailing address
PO BOX 6200, FRISCO, TX 75035-0228
(214) 385-1476
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
21740 - DENTAL
TX
Other
Enumeration date
06/14/2007
Last updated
07/24/2008
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