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Organization

PANOLA DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT STEPHENS (DENTIST)
(936) 462-0725
Entity
Organization

Contact information

Practice address
4188 NW LOOP, CARTHAGE, TX 75633-2255
(903) 508-5762
Mailing address
3025 COUNTY ROAD 509, NACOGDOCHES, TX 75961-7849

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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