Individual
STEPHEN RICHARD GASPAROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1615 TRUEMPER ST, JBSA LACKLAND, TX 78236-5511
(210) 292-0123
Mailing address
2133 KLINKER STREET, BLDG 3352, AIR FORCE POSTGRADUATE DENTAL SCHOOL, JBSA LACKLAND, TX 78236-5313
(210) 292-6280
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30022122
OH
1223P0221X
Pediatric Dentistry
Primary
33675
TX
Other
Enumeration date
04/04/2006
Last updated
08/01/2025
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