Stephen A Deal, DDS Valid NPI

Individual provider · Dentist · Greenbrier, AR

NPI

1417964099

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

3442 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-03

Last updated

2007-07-08