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Organization

RODEO DENTAL

Active
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Organization

RODEO DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP B CALDWELL DDS, MSD (ORTHODONTIST)
(512) 787-1977
Entity
Organization

Contact information

Practice address
2815 BAY WEST BLVD, HORSESHOE BAY, TX 78657
(512) 787-1977
(830) 596-7568
Mailing address
PO BOX 4642, HORSESHOE BAY, TX 78657-4642
(512) 787-1977
(830) 596-7568

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9192
TX

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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