Liv General and Cosmetic Dentistry
NPI #1104203611 in The Colony, Texas
Provider Information
- NPI Number
- 1104203611
- Entity Type
- Organization
- Organization Name
- Liv General and Cosmetic Dentistry
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 4, 2015
- Last Updated
- May 4, 2015
Practice Location
- Address
- 5101 STATE HIGHWAY 121 STE 200
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-2601
- Phone
- (607) 237-8376
Authorized Official
- Name
- DR. CLARK WILSON STEFFENS
- Title
- OWNER/DENTIST
- Phone
- (254) 644-2463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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