Individual
DR. JAYMI L STIVASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3406 AVA DR, MIDLOTHIAN, TX 76065-2273
(702) 501-2469
Mailing address
3406 AVA DR, MIDLOTHIAN, TX 76065-2273
(702) 501-2469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26322
TX
Other
Enumeration date
05/21/2009
Last updated
09/13/2019
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