NPI | 1568180420 |
---|---|
Doing Business As | ROSE DENTAL GROUP ROUND ROCK |
Entity Type | Organization |
Authorized Contact | AMANDA LIGHTFOOT Authorized Representative 214-702-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-08-17 |
Last Update Date | 2022-12-14 |