NPI | 1093502866 |
---|---|
Doing Business As | ROCKWALL DENTAL ASSOCIATES - NORTH |
Entity Type | Organization |
Authorized Contact | AMANDA LIGHTFOOT Authorized Official 214-702-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-10-10 |