| NPI | 1467213496 |
|---|---|
| Former Legal Business Name | STONECREST DENTURE CENTER |
| Entity Type | Organization |
| Authorized Contact | CASSIUS BELMORE Owner/CEO 770-676-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |