Individual
DR. STACY PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
508 W MCDERMOTT DR, SUITE 130, ALLEN, TX 75013-2777
(972) 908-3399
Mailing address
1157 LANDON LN, ALLEN, TX 75013-4933
(601) 408-2414
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27400
TX
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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