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Organization
STONEHAVEN DENTAL BURLESON PLLC
Active
Organization
STONEHAVEN DENTAL BURLESON PLLC
Active
Other names
Stonehaven Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
225 E RENFRO ST STE 109, BURLESON, TX 76028-3916
(817) 259-1828
(817) 259-1829
Mailing address
225 E RENFRO ST STE 109, BURLESON, TX 76028-3916
(817) 259-1828
(817) 259-1829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
04/27/2023
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