| NPI | 1457079402 |
|---|---|
| Doing Business As | STAR RANCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | TREVOR SHEWSKI Owner 469-951-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-09-06 |