Individual
BRENT ALAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4703 NE STALLINGS DR, NACOGDOCHES, TX 75965-1607
(936) 560-0698
(936) 560-0846
Mailing address
4703 NE STALLINGS DR, NACOGDOCHES, TX 75965-1607
(936) 560-0698
(936) 560-0846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19091
TX
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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