| River Rock Dental - Lockhart | |
|
1906 S. Colorado Suite 110 Lockhart TX 78644 | |
| (512) 820-6927 | |
| (512) 389-9797 |
| Full Name | River Rock Dental - Lockhart |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1906 S. Colorado, Lockhart, Texas |
| Authorized Official Name and Position | Jackson Booth (OWNER) |
| Authorized Official Contact | 5127399440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Rock Dental - Lockhart 4410 E Riverside Dr Suite 150 Austin TX 78741-4799 Ph: (512) 385-4700 | River Rock Dental - Lockhart 1906 S. Colorado Suite 110 Lockhart TX 78644 Ph: (512) 820-6927 |
| NPI Number | 1265874499 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265874499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23496 (Texas) | Primary |
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