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Organization
RIVER ROCK DENTAL - LAMAR PC
Active
Organization
RIVER ROCK DENTAL - LAMAR PC
Active
Other names
River Rock Dental - Lamar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON BOOTH DDS (OWNER)
(512) 739-9440
Entity
Organization
Contact information
Practice address
3115 S. LAMAR, AUSTIN, TX 78704
(512) 820-6927
(512) 462-4782
Mailing address
9500 S IH 35, SUITE E-400, AUSTIN, TX 78748-1752
(512) 820-6927
(512) 462-4782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23496
TX
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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