| NPI | 1962833996 |
|---|---|
| Doing Business As | LONESTAR PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARK BINGAHAM Owner 512-453-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |