Most Relevant Information
Provider Data
| NPI Number: | 1003256272 |
| Provider Name: | BRENT STEVEN DESUTTER D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 32336 |
Most Important Dates
| Enumeration Date: | 07/02/2013 |
| Last Updated: | 10/10/2017 |
Provider Practice Location
718 N BUCKNER BLVD STE 110
DALLAS
TX
752182764
Practice Location Phone/Fax
| Phone: | 2142958440 |
| Fax: |
Provider Mailing Location
718 N BUCKNER BLVD STE 110
DALLAS
TX
752182764
Provider Mailing Phone/Fax
| Phone: | 2142958440 |
| Fax: |