Individual
DR. BRENT STEVEN DESUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
718 N BUCKNER BLVD STE 110, DALLAS, TX 75218-2764
(214) 295-8440
Mailing address
718 N BUCKNER BLVD STE 110, DALLAS, TX 75218-2764
(214) 295-8440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32336
TX
Other
Enumeration date
07/02/2013
Last updated
10/10/2017
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