DR. Steven J Fuqua, DDS MS

NPI #1225125263 in Southlake, Texas

Provider Information

NPI Number: 1225125263
Entity Type: Individual
Name: DR. Steven J Fuqua, DDS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS MS
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1422 MAIN ST
Address 2: SUITE 207
City: Southlake
State: Texas
ZIP Code: 76092
Phone: (817) 410-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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