Stonehaven Dental PLLC
Dentist in Waco, TX. Organization (NPI-2).
NPI number1326463555
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1326463555
- Entity type
- Organization (NPI-2)
- Legal business name
- Stonehaven Dental PLLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2014
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Stonehaven Dental (Doing Business As)
Practice location
824 Hewitt Dr # 300Waco, TX 76712-6656
Phone 972-869-3789 · Fax 972-869-3791
Mailing address
Po Box 734753Dallas, TX 75373-4753
Phone 972-869-3789 · Fax 972-869-3791
Authorized official
Mary Pu
Vp Of Finance
9728693789
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