Rolling Oaks Dental | |
19243 Fm 2252 Ste 200 Garden Ridge TX 78266-2586 | |
(210) 880-2229 | |
Not Available |
Full Name | Rolling Oaks Dental |
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Speciality | Dentist - General Practice |
Location | 19243 Fm 2252 Ste 200, Garden Ridge, Texas |
Authorized Official Name and Position | Lawrence Michael Dougherty (PRESIDENT/CEO) |
Authorized Official Contact | 2108802229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rolling Oaks Dental 19243 Fm 2252 Ste 200 San Antonio TX 78266-2586 Ph: (210) 880-2229 | Rolling Oaks Dental 19243 Fm 2252 Ste 200 Garden Ridge TX 78266-2586 Ph: (210) 880-2229 |
NPI Number | 1952688004 |
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Provider Enumeration Date | 11/03/2011 |
Last Update Date | 08/26/2024 |
Identifier | Type | State | Issuer |
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1952688004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |