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Organization
RDG PARMER LANE, PLLC
Active
Organization
RDG PARMER LANE, PLLC
Active
Other names
Rose Dental Group Parmer
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
1450 W PARMER LN, AUSTIN, TX 78727-4501
(512) 795-0008
Mailing address
1450 W PARMER LN, AUSTIN, TX 78727-4501
(512) 795-0008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
12/14/2022
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