KAZMIN STAN

URBANA, IL
NPI1326725599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IL  018002236)
Enumeration Date2023-06-29
Last Update Date2023-06-29
Business Address
Dr. KAZMIN STAN DMD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
Mailing Address
Dr. KAZMIN STAN DMD
4540 NICKLAUS DR APT 207
CHAMPAIGN, IL 61822-1503
Phone number: 619-600-7080