Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 10196 | TX |
NPI | 1063538973 |
---|---|
Provider Name | Dr. Stephen O Cheff |
First Address | Dallas, TX 75246 |
Second Address | Dallas, TX 75246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 02/11/2016 |