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1023336104
ADAM C STANLEY
SOUTH JORDAN, UT
NPI
1023336104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IA 09071)
Enumeration Date
2010-05-13
Last Update Date
2020-03-12
Business Address
Dr. ADAM C STANLEY D.D.S.
3632 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84009-7163
Phone number: 385-274-4848
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Mailing Address
Dr. ADAM C STANLEY D.D.S.
13215 BIRCH DR SUITE 100
OMAHA, NE 68164-5431
Phone number: 402-390-0770
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