Organization
STONE CANYON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LUNA (DOCTOR)
(972) 226-6655
Entity
Organization
Contact information
Practice address
192 S COLLINS RD, 100, SUNNYVALE, TX 75182-4633
(972) 226-6655
Mailing address
192 S COLLINS RD, 100, SUNNYVALE, TX 75182-4633
(972) 226-6655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30002
TX
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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