Individual
DR. STEPHEN KENT BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 S W S YOUNG DR, SUITE D, KILLEEN, TX 76543-4885
(254) 690-3380
(254) 690-3668
Mailing address
1201 S W S YOUNG DR, SUITE D, KILLEEN, TX 76543-4885
(254) 690-3380
(254) 690-3668
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786661
UNITED CONCORDIA PROV. #
TX
Enumeration date
07/26/2006
Last updated
07/09/2007
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