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Organization
PANOLA DENTAL, PLLC
Active
Organization
PANOLA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT STEPHENS (DENTIST)
(936) 462-0725
Entity
Organization
Contact information
Practice address
4188 NW LOOP, CARTHAGE, TX 75633-2255
(903) 508-5762
Mailing address
3025 COUNTY ROAD 509, NACOGDOCHES, TX 75961-7849
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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