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Organization
PANTEGO DENTIST, PLLC
Active
Organization
PANTEGO DENTIST, PLLC
Active
Other names
A Smile Above
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEVENS D.D.S. (OWNER)
(281) 630-2193
Entity
Organization
Contact information
Practice address
301 S BOWEN RD, ARLINGTON, TX 76013-1255
(817) 339-6140
Mailing address
301 S BOWEN RD, ARLINGTON, TX 76013-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043393572
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
—
01
—
1700978079
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
TX
Enumeration date
05/14/2015
Last updated
05/14/2015
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