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Organization
TW RAWCLIFFE DENTAL, PLLC
Active
Organization
TW RAWCLIFFE DENTAL, PLLC
Active
Other names
Prairie Star Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAWCLIFFE DDS (PRESIDENT)
(512) 643-6104
Entity
Organization
Contact information
Practice address
1900 UNIVERSITY BLVD, SUITE 180, ROUND ROCK, TX 78665-7866
(512) 643-6104
Mailing address
1900 UNIVERSITY BLVD, SUITE 180, ROUND ROCK, TX 78665
(512) 643-6104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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