# ESCOBAR PREMIER DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stone Lake Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912546672
- **Authorized official:** CHRISTIAN ESCOBAR DDS (OWNER)
- **Authorized official phone:** (832) 930-7856

## Contact information

- **Practice address:** 12711 TELGE RD, STE \#100, CYPRESS, TX 77429-2289
- **Practice address phone:** (832) 930-7856
- **Mailing address:** 12711 TELGE RD, STE \#100, CYPRESS, TX 77429
- **Mailing address phone:** (832) 930-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 08/18/2021