| NPI | 1629372602 |
|---|---|
| Doing Business As | STONE OAK PEDIATRIC DENTISTRY OR DOMINION PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMIE PREECE Office Manager 210-491-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |