| NPI | 1750724613 |
|---|---|
| Doing Business As | HIGHLAND CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHANE T COPE Owner 765-807-0592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IN 12011052A) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-05-11 |