Individual
DR. CECIL PHILLIP STANCIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1147 S HAIRSTON RD, STONE MOUNTAIN, GA 30088-2716
(404) 297-6635
Mailing address
7118 SONYA DR, NASHVILLE, TN 37209-5232
(615) 207-1932
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013667
GA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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