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Organization

STEPHEN M LADUQUE DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA PENCE (PRACTICE MANAGER)
(254) 965-2777
Entity
Organization

Contact information

Practice address
1420 E MAIN ST, EASTLAND, TX 76448-3023
(254) 629-3330
(254) 629-3332
Mailing address
PO BOX 1038, EASTLAND, TX 76448-1038
(254) 629-3330
(254) 629-3332

Taxonomy

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

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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