| NPI | 1215654850 |
|---|---|
| Doing Business As | STONETRACE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SANDOVAL Director Of Operations 505-604-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |