Organization
ANTOLIN-SANCHEZ DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA ANTOLIN DDS (OWNER)
(682) 237-2353
Entity
Organization
Contact information
Practice address
105 COUNTRY VIEW DR STE 300, ROANOKE, TX 76262-2057
(682) 237-2353
(682) 237-2352
Mailing address
105 COUNTRY VIEW DR STE 300, ROANOKE, TX 76262-2057
(682) 237-2353
(682) 237-2352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396065504
NPPES
TX
Enumeration date
05/04/2018
Last updated
05/31/2023
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