Stefanus Siswanto, DDS

NPI 1033271879 · on the registry since 2006

Practice

Address: 18181 Midway Rd Ste 500
Dallas, TX 75287
Phone: (972) 306-5000
Fax: (972) 306-5009
Organisation at this address: Stefanus Siswanto Dds Pllc
Transvision Optometry, Pc Dba Transvision Eye Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas