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Organization
ROCKWALL DENTAL ASSOCIATES PLLC
Active
Organization
ROCKWALL DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
3140 HORIZON RD STE 103, ROCKWALL, TX 75032-7819
(469) 208-5752
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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