Rockwall Professionals LLC
Dentist in Rockwall, TX. Organization (NPI-2).
NPI number1255083002
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1255083002
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockwall Professionals LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3140 Horizon Rd Ste 103Rockwall, TX 75032-7819
Phone 469-651-1776
Mailing address
8025 Excelsior DrMadison, WI 53717-1900
Phone 608-343-0818
Authorized official
Mitchell Weiland
Assistant Controller
6083430818
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All 30 Dentist providers in Rockwall · All 2,106 providers in Rockwall
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