DR. Brian William Stancoven, DDS

NPI #1508823840 in Tripler Amc, Hawaii

Provider Information

NPI Number: 1508823840
Entity Type: Individual
Name: DR. Brian William Stancoven, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Apr 28, 2006
Last Updated: May 25, 2016

Practice Location

Address: 1 JARRETT WHITE ROAD, BLDG 320 KRUKOWSKI STREET
Address 2: USA DENTAC
City: Tripler Amc
State: Hawaii
ZIP Code: 96859-5000
Phone: (808) 433-1021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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