STEFANUS H SISWANTO

DALLAS, TX
NPI1033271879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  22440)
Enumeration Date2006-12-15
Last Update Date2009-07-20
Business Address
-- STEFANUS H SISWANTO DDS
18181 MIDWAY RD STE 500
DALLAS, TX 75287-8104
Phone number: 972-306-5000
Mailing Address
-- STEFANUS H SISWANTO DDS
5304 SAINT CROIX CT
RICHARDSON, TX 75082-4134
Phone number: 972-881-3757
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