Rockwall Dental Associates Pllc

NPI #1780390146 in Rockwall, Texas

Provider Information

NPI Number: 1780390146
Entity Type: Organization
Organization Name: Rockwall Dental Associates Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2023
Last Updated: Jan 27, 2023

Practice Location

Address: 3140 HORIZON RD STE 103
City: Rockwall
State: Texas
ZIP Code: 75032-7819
Phone: (469) 208-5752

Authorized Official

Name: AMANDA LIGHTFOOT
Title: AUTHORIZED REPRESENTATIVE
Phone: (214) 702-0708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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