MR. Johnny Richard Stanley, DDS

NPI #1275629644 in Big Spring, Texas

Provider Information

NPI Number: 1275629644
Entity Type: Individual
Name: MR. Johnny Richard Stanley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 307D WEST 16TH
Address 2: STE D
City: Big Spring
State: Texas
ZIP Code: 79720
Phone: (432) 267-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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