# JS HEALTHCARE DBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RODEM TREE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063779726
- **Authorized official:** DR. ELLEN M NAM DDS (DENTIST)
- **Authorized official phone:** (972) 475-2321

## Contact information

- **Practice address:** 3705 LAKEVIEW PKWY, STE. 101, ROWLETT, TX 75088-4177
- **Practice address phone:** (972) 475-2321
- **Practice address fax:** (866) 496-2670
- **Mailing address:** 3705 LAKEVIEW PKWY, STE. 101, ROWLETT, TX 75088-4177
- **Mailing address phone:** (972) 475-2321
- **Mailing address fax:** (866) 496-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22514 | TX | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012