| Stone Lake Dentistry | |
|
12711 Telge Rd Ste #100 Cypress TX 77429-2289 | |
| (832) 930-7856 | |
| Not Available |
| Full Name | Stone Lake Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12711 Telge Rd, Cypress, Texas |
| Authorized Official Name and Position | Christian Escobar (OWNER) |
| Authorized Official Contact | 8329307856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Lake Dentistry 12711 Telge Rd Ste #100 Cypress TX 77429 Ph: (832) 930-7856 | Stone Lake Dentistry 12711 Telge Rd Ste #100 Cypress TX 77429-2289 Ph: (832) 930-7856 |
| NPI Number | 1912546672 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912546672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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