Organization
MELISSA V. ROZAS, DDS DENTISTRY FOR INFANTS, CHILDREN AND TEENS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROZAS D.D.S. (OWNER / DENTIST)
(972) 393-9779
Entity
Organization
Contact information
Practice address
632 E SANDY LAKE RD, COPPELL, TX 75019-3019
(972) 393-9779
(972) 393-9775
Mailing address
632 E SANDY LAKE RD, COPPELL, TX 75019-3019
(972) 393-9779
(972) 393-9775
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111156904
—
TX
Enumeration date
08/17/2009
Last updated
08/17/2009
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