Stonehaven Dental | |
225 E Renfro St Ste 109 Burleson TX 76028-3916 | |
(817) 259-1828 | |
(817) 259-1829 |
Full Name | Stonehaven Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 225 E Renfro St Ste 109, Burleson, Texas |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stonehaven Dental 225 E Renfro St Ste 109 Burleson TX 76028-3916 Ph: (817) 259-1828 | Stonehaven Dental 225 E Renfro St Ste 109 Burleson TX 76028-3916 Ph: (817) 259-1828 |
NPI Number | 1255946984 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 04/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255946984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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