Organization
SKY CREEK DENTAL
Active
Other names
Brent Cornelius DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT CORNELIUS DDS (OWNER)
(817) 431-4200
Entity
Organization
Contact information
Practice address
123 KELLER PKWY STE 100, KELLER, TX 76248-2255
(817) 431-4200
Mailing address
123 KELLER PKWY STE 100, KELLER, TX 76248-2255
(817) 431-4200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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