| Stone Ranch Dental Group | |
|
458 Mid Cities Blvd Hurst TX 76054-2430 | |
| (817) 571-2100 | |
| Not Available |
| Full Name | Stone Ranch Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 458 Mid Cities Blvd, Hurst, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Ranch Dental Group 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: () - | Stone Ranch Dental Group 458 Mid Cities Blvd Hurst TX 76054-2430 Ph: (817) 571-2100 |
| NPI Number | 1740722701 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740722701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
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