NPI | 1306298831 |
---|---|
Doing Business As | STONELAKE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARTIN PAK Owner 512-785-2680 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28118) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |