NPI | 1841488657 |
---|---|
Former Legal Business Name | STEPHEN M. DENTLER, DO, PA |
Entity Type | Organization |
Authorized Contact | DILLON KELBY LESAK Owner/Pediatrician 361-579-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX J4080) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2025-06-12 |