Stefanus Siswanto DDS PLLC
Stefanus Siswanto DDS PLLC is a General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18181 Midway Rd Ste 500Dallas, TX 75287-8104
Phone: (214) 934-2198
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 22440 (TX) |
|---|
Record details
| NPI number | 1033385497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stefanus Siswanto — President · (214) 934-2198 |
| Other names | Midway Family Dentistry |
| NPI enumerated | May 6, 2008 |
| Last updated in NPPES | May 6, 2008 |
| Mailing address | 18181 Midway Rd Ste 500, Dallas, TX 75287-8104 |
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