DR. Stan R Mahan JR., D.D.S

NPI #1013139484 in Toms River, New Jersey

Provider Information

NPI Number: 1013139484
Entity Type: Individual
Name: DR. Stan R Mahan JR., D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2494 MOORE RD
Address 2: SUITE 2
City: Toms River
State: New Jersey
ZIP Code: 08753-8187
Phone: (732) 255-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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