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Organization
ROCKWALL FAMILY DENTISTRY P.A.
Active
Organization
ROCKWALL FAMILY DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE T. NGUYEN D.D.S (PARTNER)
(972) 772-4000
Entity
Organization
Contact information
Practice address
3084 N. GOLIAD ST., 124, ROCKWALL, TX 75087-7049
(972) 772-4000
(972) 772-4011
Mailing address
3084 N. GOLIAD ST., 124, ROCKWALL, TX 75087
(972) 772-4000
(972) 772-4011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19044
TX
1223G0001X
General Practice Dentistry
19084
TX
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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