| NPI | 1912546672 |
|---|---|
| Doing Business As | STONE LAKE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ESCOBAR Owner 832-930-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2021-08-18 |