NPI | 1134206170 |
---|---|
Doing Business As | STONE CREEK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | LAUREN HILL Director, Rcm 972-930-7707 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
122300000X Dentist | |
1223E0200X Dentist, Endodontics | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-07-15 |