Organization
STONECREEK ACQUISITIONS, L.L.C.
Active
Parent organization
STONECREEK ACQUISITIONS, L.L.C.
Other names
StoneCreek Dental Care-Trussville
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONECREEK ACQUISITIONS, L.L.C.
Authorized official
MRS. NANETTE LYNN CIPCIC (PRACTICE ADMINISTRATOR)
(205) 655-5144
Entity
Organization
Contact information
Practice address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173-6700
(205) 655-5144
Mailing address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173-6700
(205) 655-5144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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