NPI | 1295839884 |
---|---|
Doing Business As | STONEWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | STEVEN ANTHONY CHILDRESS President 254-662-3306 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-09-12 |
Last Update Date | 2020-08-22 |