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Organization
L. PATRICK GRISANTI II, DDS, PA
Active
Organization
L. PATRICK GRISANTI II, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONELLO PATRICK GRISANTI II DDS (OWNER)
(972) 772-9505
Entity
Organization
Contact information
Practice address
2504 RIDGE RD, SUITE 204, ROCKWALL, TX 75087-2569
(972) 772-9505
(972) 722-7506
Mailing address
2504 RIDGE RD, SUITE 204, ROCKWALL, TX 75087-2569
(972) 772-9505
(972) 722-7506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21801
TX
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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