Individual
DR. BRANT HARRISON STANOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4005 FOX HUNTER LN, MECHANICSVILLE, VA 23111-6857
(804) 781-1919
Mailing address
4005 FOX HUNTER LN, MECHANICSVILLE, VA 23111-6857
(804) 781-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415311
VA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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