| |
7200 Lakeview Pkwy Rowlett TX 75088-4205 | |
(972) 475-3429 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7200 Lakeview Pkwy, Rowlett, Texas |
Authorized Official Name and Position | Nirmala Jyothi Marneni (OWNER DENTIST) |
Authorized Official Contact | 2147992233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7200 Lakeview Pkwy Rowlett TX 75088-4205 Ph: (972) 475-3429 | 7200 Lakeview Pkwy Rowlett TX 75088-4205 Ph: (972) 475-3429 |
NPI Number | 1497139430 |
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Provider Enumeration Date | 07/18/2015 |
Last Update Date | 07/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497139430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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