| NPI | 1538670419 |
|---|---|
| Doing Business As | LONE STAR CIRCLE OF CARE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RHONDA MUNDHENK CEO 512-686-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |