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Organization

STONE LAKE DENTAL

Active
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Organization

STONE LAKE DENTAL

Active
Other names
Rafael A Perez, DDS Michael W. Spiller, Jr. DDS
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL A PEREZ D.D.S. (OWNER)
(940) 692-2851
Entity
Organization

Contact information

Practice address
2301 MIDWESTERN PKWY, STE. #110, WICHITA FALLS, TX 76308-2344
(940) 692-2851
(940) 691-1520
Mailing address
2301 MIDWESTERN PKWY, STE. #110, WICHITA FALLS, TX 76308-2344
(940) 692-2851
(940) 691-1520

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18968
TX

Other

Enumeration date
04/20/2007
Last updated
08/22/2020
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