Individual
STEPHEN KYLE HARTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S STEMMONS FWY, LEWISVILLE, TX 75067-4562
(972) 436-9121
Mailing address
5619 BELMONT AVE APT 4222, DALLAS, TX 75206-6893
(843) 327-6145
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39244
TX
Other
Enumeration date
04/20/2020
Last updated
02/06/2023
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