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Organization

STONE RIDGE FAMILY & COSMETIC DENTISTRY

Active
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Organization

STONE RIDGE FAMILY & COSMETIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ROTHSTEIN D.D.S. (PRESIDENT)
(210) 403-0555
Entity
Organization

Contact information

Practice address
19375 STONE OAK PKWY, SAN ANTONIO, TX 78258-3247
(210) 403-0555
Mailing address
19375 STONE OAK PKWY, SAN ANTONIO, TX 78258-3247

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18942
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518933761
INDIVIDUAL NPI
TX
Enumeration date
03/08/2012
Last updated
03/08/2012
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