Organization
JS HEALTHCARE DBA
Active
Other names
RODEM TREE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN M NAM DDS (DENTIST)
(972) 475-2321
Entity
Organization
Contact information
Practice address
3705 LAKEVIEW PKWY, STE. 101, ROWLETT, TX 75088-4177
(972) 475-2321
(866) 496-2670
Mailing address
3705 LAKEVIEW PKWY, STE. 101, ROWLETT, TX 75088-4177
(972) 475-2321
(866) 496-2670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22514
TX
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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