DR. Stephen Micheal Gant SR., D.D.S.

NPI #1013041425 in Columbia, Maryland

Provider Information

NPI Number: 1013041425
Entity Type: Individual
Name: DR. Stephen Micheal Gant SR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10700 CHARTER DR
Address 2: SUITE 340
City: Columbia
State: Maryland
ZIP Code: 21044-3629
Phone: (410) 730-6702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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