| NPI | 1073653929 |
|---|---|
| Former Legal Business Name | STAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHAD B HOECKER Owner 405-707-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-12-03 |