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Organization
RIVER ROCK DENTAL - LOCKHART PC
Active
Organization
RIVER ROCK DENTAL - LOCKHART PC
Active
Other names
River Rock Dental - Lockhart
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON BOOTH DDS (OWNER)
(512) 739-9440
Entity
Organization
Contact information
Practice address
1906 S. COLORADO, SUITE 110, LOCKHART, TX 78644
(512) 820-6927
(512) 389-9797
Mailing address
4410 E RIVERSIDE DR, SUITE 150, AUSTIN, TX 78741-4799
(512) 385-4700
(512) 389-9797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23496
TX
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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