# STEPHEN M LADUQUE DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811554777
- **Authorized official:** ANGELA PENCE (PRACTICE MANAGER)
- **Authorized official phone:** (254) 965-2777

## Contact information

- **Practice address:** 1420 E MAIN ST, EASTLAND, TX 76448-3023
- **Practice address phone:** (254) 629-3330
- **Practice address fax:** (254) 629-3332
- **Mailing address:** PO BOX 1038, EASTLAND, TX 76448-1038
- **Mailing address phone:** (254) 629-3330
- **Mailing address fax:** (254) 629-3332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019