| NPI | 1902524861 |
|---|---|
| Doing Business As | ROSE DENTAL GROUP ANGUS |
| Entity Type | Organization |
| Authorized Contact | AMANDA LIGHTFOOT Authorized Representative 214-702-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-12-14 |