| Russell V Stover, DDS, PC | |
|
326 S Edmonds #105 Lewisville TX 75067 | |
| (972) 221-9334 | |
| (972) 436-7130 |
| Full Name | Russell V Stover, DDS, PC |
|---|---|
| Speciality | Dentist |
| Location | 326 S Edmonds #105, Lewisville, Texas |
| Authorized Official Name and Position | Russell V Stover (OWNER) |
| Authorized Official Contact | 9722219334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell V Stover, DDS, PC 326 S Edmonds #105 Lewisville TX 75067 Ph: (972) 221-9334 | Russell V Stover, DDS, PC 326 S Edmonds #105 Lewisville TX 75067 Ph: (972) 221-9334 |
| NPI Number | 1154693984 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154693984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14252 (Texas) | Primary |
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