NPI | 1821106428 |
---|---|
Doing Business As | BRENT A STEPHENS,DDS PA |
Entity Type | Organization |
Authorized Contact | BRENT A STEPHENS President 936-560-0698 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19091) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2008-07-24 |