Individual
MR. DANIEL MACKENZIE STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5330 E MOCKINGBIRD LN STE 120, DALLAS, TX 75206-0941
(214) 821-5011
Mailing address
7637 LA RISA DR, DALLAS, TX 75248-4336
(479) 597-0151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35751
TX
1223G0001X
General Practice Dentistry
DN1857943
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
03/12/2021
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