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7501 Lakeview Pkwy Suite 250 Rowlett TX 75088-9322 | |
| (217) 540-5100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7501 Lakeview Pkwy, Rowlett, Texas |
| Authorized Official Name and Position | Marie Kuhl (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7501 Lakeview Pkwy Suite 250 Rowlett TX 75088-9322 Ph: (217) 540-5100 | 7501 Lakeview Pkwy Suite 250 Rowlett TX 75088-9322 Ph: (217) 540-5100 |
| NPI Number | 1497091706 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497091706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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