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Organization
ROCKWALL DA NORTH
Active
Organization
ROCKWALL DA NORTH
Active
Other names
Rockwall Dental Associates - North
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED OFFICIAL)
(214) 702-0708
Entity
Organization
Contact information
Practice address
3005 N GOLIAD ST STE 110, ROCKWALL, TX 75087-1215
(972) 635-5336
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
01/28/2026
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