| 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 | 122300000X Dentist |
| 1223E0200X Dentist Endodontics | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-07-15 |