NPI | 1962618074 |
---|---|
Doing Business As | STONE OAK PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUSIE S HAYDEN Owner President 210-491-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16839) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |