| L. Patrick Grisanti Ii, Dds, Pa | |
|
2504 Ridge Rd Suite 204 Rockwall TX 75087-2569 | |
| (972) 772-9505 | |
| (972) 722-7506 |
| Full Name | L. Patrick Grisanti Ii, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2504 Ridge Rd, Rockwall, Texas |
| Authorized Official Name and Position | Leonello Patrick Grisanti Ii (OWNER) |
| Authorized Official Contact | 9727729505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Patrick Grisanti Ii, Dds, Pa 2504 Ridge Rd Suite 204 Rockwall TX 75087-2569 Ph: (972) 772-9505 | L. Patrick Grisanti Ii, Dds, Pa 2504 Ridge Rd Suite 204 Rockwall TX 75087-2569 Ph: (972) 772-9505 |
| NPI Number | 1063621639 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063621639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21801 (Texas) | Primary |
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