Organization
TW RAWCLIFFE DENTAL, PLLC
Active
Other names
Prairie Star Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAWCLIFFE DDS (PRESIDENT)
(512) 643-6104
Entity
Organization
Contact information
Practice address
1900 UNIVERSITY BLVD, SUITE 180, ROUND ROCK, TX 78665-7866
(512) 643-6104
Mailing address
1900 UNIVERSITY BLVD, SUITE 180, ROUND ROCK, TX 78665
(512) 643-6104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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