| Stonehaven Dental | |
|
824 Hewitt Dr # 300 Waco TX 76712-6656 | |
| (972) 869-3789 | |
| (972) 869-3791 |
| Full Name | Stonehaven Dental |
|---|---|
| Speciality | Dentist |
| Location | 824 Hewitt Dr # 300, Waco, Texas |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | Stonehaven Dental 824 Hewitt Dr # 300 Waco TX 76712-6656 Ph: (972) 869-3789 |
| NPI Number | 1326463555 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326463555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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