| NPI | 1194402917 |
|---|---|
| Doing Business As | C. ROGER MACIAS, JR., DDS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NELSON VP, Revenue Cycle 469-450-6482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |