Individual
DR. STEPHEN MICHEAL GANT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10700 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-3629
(410) 730-6702
Mailing address
10700 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-3629
(410) 730-6702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11583
MD
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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