| NPI | 1205045044 |
|---|---|
| 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 | 2007-05-21 |
| Last Update Date | 2020-08-22 |