ANTHONY DANIEL STAKIS

FORT JACKSON, SC
NPI1508840661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: PA  DS018635L)
Enumeration Date2005-12-02
Last Update Date2007-07-08
Business Address
Dr. ANTHONY DANIEL STAKIS DMD
3295 FORNEY ST
FORT JACKSON, SC 29207-5604
Phone number: 803-751-6213
Mailing Address
Dr. ANTHONY DANIEL STAKIS DMD
3295 FORNEY ST
FORT JACKSON, SC 29207-5604
Phone number: 803-751-6213