| NPI | 1811668643 |
|---|---|
| Doing Business As | STADIUM DENTAL |
| Entity Type | Organization |
| Authorized Contact | BEN LUKA Owner/ Dentist 682-323-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |