| NPI | 1659038768 |
|---|---|
| Doing Business As | STONECREST FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIAM CABANA President 803-547-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |