Individual
DR. RONALD SETH STUKALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
5925 FOREST LN STE 318, DALLAS, TX 75230-2776
(972) 490-4881
(972) 490-1270
Mailing address
5925 FOREST LN STE 318, DALLAS, TX 75230-2776
(972) 490-4881
(972) 490-1270
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15826
TX
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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