Rockwall Dental Professionals

NPI #1073386900 in Rockwall, Texas

Provider Information

NPI Number: 1073386900
Entity Type: Organization
Organization Name: Rockwall Dental Professionals
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2023
Last Updated: Nov 2, 2023

Practice Location

Address: 1375 RIDGE RD
City: Rockwall
State: Texas
ZIP Code: 75087-4243
Phone: (972) 771-4100

Authorized Official

Name: BRIGETTE NICOLE KOETTER, DDS
Title: OWNER/DENTIST
Phone: (972) 771-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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