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Stefanus Siswanto Dds Pllc
General Practice Dentistry in Dallas, Texas
NPI 1033385497

Stefanus Siswanto Dds Pllc is a General Practice Dentistry based in Dallas, TX and is specialized in General Practice. Stefanus Siswanto Dds Pllc practices in Dallas, TX. The NPI Number for Stefanus Siswanto Dds Pllc is 1033385497 and holds a License No. 22440 (Texas).

The current practice location address for Stefanus Siswanto Dds Pllc is 18181 Midway Rd Ste 500, Dallas, TX and can be reached out via phone at 214-934-2198.

Location: 18181 Midway Rd Ste 500, Dallas, TX, 75287-8104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033385497
Provider Name
Stefanus Siswanto Dds Pllc
Credential
Provider Entity Type
Organization
Address
18181 Midway Rd Ste 500, Dallas, TX, 75287-8104
Phone Number
214-934-2198
Fax Number
Provider Enumeration Date
05/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18181 Midway Rd Ste 500
City
Dallas
State
Texas
Zip
75287-8104
Phone Number
214-934-2198
Fax Number
person
Provider Business Mailing Address Details
Address
18181 Midway Rd Ste 500
City
Dallas
State
Texas
Zip
75287-8104
Phone Number
214-934-2198
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22440 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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