| NPI | 1891262176 | 
|---|---|
| Doing Business As | DENTSITS OF STONE OAK | 
| Entity Type | Organization | 
| Authorized Contact | TAJ A IBRIK Dds/Owner 210-664-3479 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2018-10-25 | 
| Last Update Date | 2022-02-08 |