Round Grove Family Dentistry
Dentist, General Practice in Lewisville, TX. Organization (NPI-2).
NPI number1669928073
StatusActive
Last updated in NPPESAug 27, 2016
Details
- NPI
- 1669928073
- Entity type
- Organization (NPI-2)
- Legal business name
- Round Grove Family Dentistry
- Organization subpart
- No
- Enumeration date
- Aug 27, 2016
- Last updated
- Aug 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2325 S Stemmons FwySte 301
Lewisville, TX 75067-8754
Phone 469-556-8379
Mailing address
1901 Northwest HwySte 103
Garland, TX 75041-4857
Authorized official
Rani James
Owner/Partner
2142185917
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