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Organization
ROUP DENTAL
Active
Organization
ROUP DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MOREAU (FRONT OFFICE)
(512) 341-7500
Entity
Organization
Contact information
Practice address
661 LOUIS HENNA BLVD STE 420, ROUND ROCK, TX 78664-7408
(512) 341-7500
(512) 341-7753
Mailing address
661 LOUIS HENNA BLVD STE 420, ROUND ROCK, TX 78664-7408
(512) 341-7500
(512) 341-7753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19139
TX
122300000X
Dentist
20619
TX
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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