| Cornerstone Dental | |
|
279 E Colorado St La Grange TX 78945-2243 | |
| (979) 968-9451 | |
| (979) 968-8608 |
| Full Name | Cornerstone Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 279 E Colorado St, La Grange, Texas |
| Authorized Official Name and Position | Karen A Roberts (PRESIDENT AND OWNER) |
| Authorized Official Contact | 9799689451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dental 279 E Colorado St La Grange TX 78945-2243 Ph: (979) 968-9451 | Cornerstone Dental 279 E Colorado St La Grange TX 78945-2243 Ph: (979) 968-9451 |
| NPI Number | 1215078308 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17223 (Texas) | Primary |
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