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Organization

RISING STARS PD MARBLE FALLS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERENTHES FIELDS (CREDENTIALING SPECIALIST)
(407) 684-3738
Entity
Organization

Contact information

Practice address
608 GATEWAY CENTRAL STE 201, MARBLE FALLS, TX 78654-6356
(830) 693-7044
Mailing address
608 GATEWAY CENTRAL STE 201, MARBLE FALLS, TX 78654-6356
(830) 693-7044

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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