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1225125263
STEVEN J FUQUA
SOUTHLAKE, TX
NPI
1225125263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 19208)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. STEVEN J FUQUA DDS MS
1422 MAIN ST SUITE 207
SOUTHLAKE, TX 76092
Phone number: 817-410-8765
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Mailing Address
Dr. STEVEN J FUQUA DDS MS
1422 MAIN ST SUITE 207
SOUTHLAKE, TX 76092
Phone number: 817-410-8765
Copy
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