NPI | 1891476578 |
---|---|
Doing Business As | STEVENS RANCH MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARIA A ALSTON Owner 830-455-4967 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-07-26 |