| NPI | 1073386900 |
|---|---|
| Doing Business As | DENTAL PROFESSIONALS OF ROCKWALL |
| Entity Type | Organization |
| Authorized Contact | BRIGETTE NICOLE KOETTER Owner/Dentist 972-771-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |