NPI | 1730808403 |
---|---|
Doing Business As | STONEHAVEN DENTAL & ORTHODONTICS-KILLEEN |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA Credentialing Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-08-25 |
Last Update Date | 2022-08-25 |