Organization
ROCKWALL CROSSING ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MASK (OFFICE MANAGER)
(972) 771-1117
Entity
Organization
Contact information
Practice address
711 S GOLIAD ST, ROCKWALL, TX 75087-3935
(972) 771-1117
Mailing address
711 S GOLIAD ST, ROCKWALL, TX 75087-3935
(972) 771-1117
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19930
TX
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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