Stonehaven Dental Burleson Pllc

NPI #1255946984 in Burleson, Texas

Provider Information

NPI Number: 1255946984
Entity Type: Organization
Organization Name: Stonehaven Dental Burleson Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2020
Last Updated: Apr 27, 2023

Practice Location

Address: 225 E RENFRO ST STE 109
City: Burleson
State: Texas
ZIP Code: 76028-3916
Phone: (817) 259-1828

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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