| NPI | 1902466048 |
|---|---|
| Doing Business As | SKYRIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAURA COOK Owner 512-402-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |