Provider Demographics
NPI:1376055384
Name:STELLA DENTAL VK PLLC
Entity Type:Organization
Organization Name:STELLA DENTAL VK PLLC
Other - Org Name:STELLA DENTAL CARE HK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROTUNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-529-4660
Mailing Address - Street 1:7160 BARKER CYPRESS RD STE E
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5301
Mailing Address - Country:US
Mailing Address - Phone:832-529-4660
Mailing Address - Fax:832-201-7478
Practice Address - Street 1:21040 HIGHLAND KNOLLS DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:832-529-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty