Organization
LIV GENERAL AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK WILSON STEFFENS (OWNER/DENTIST)
(254) 644-2463
Entity
Organization
Contact information
Practice address
5101 STATE HIGHWAY 121 STE 200, THE COLONY, TX 75056-2601
(607) 237-8376
Mailing address
5101 STATE HIGHWAY 121 STE 200, THE COLONY, TX 75056-2601
(607) 237-8376
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
23907
TX
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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