Rockwall Family Dentistry P.a. | |
3084 N. Goliad St. 124 Rockwall TX 75087-7049 | |
(972) 772-4000 | |
(972) 772-4011 |
Full Name | Rockwall Family Dentistry P.a. |
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Speciality | Dentist - General Practice |
Location | 3084 N. Goliad St., Rockwall, Texas |
Authorized Official Name and Position | Jacqueline T. Nguyen (PARTNER) |
Authorized Official Contact | 9727724000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rockwall Family Dentistry P.a. 3084 N. Goliad St. 124 Rockwall TX 75087 Ph: (972) 772-4000 | Rockwall Family Dentistry P.a. 3084 N. Goliad St. 124 Rockwall TX 75087-7049 Ph: (972) 772-4000 |
NPI Number | 1821300567 |
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Provider Enumeration Date | 07/10/2010 |
Last Update Date | 07/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821300567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19044 (Texas) | Primary |
1223G0001X | Dentist - General Practice | 19084 (Texas) | Secondary |
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L. Patrick Grisanti Ii, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Ridge Rd, Suite 204, Rockwall, TX 75087 Phone: 972-772-9505 Fax: 972-722-7506 | |
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