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Individual

DR. DAN G WARCHOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
515 E I30, ROCKWALL, TX 75087-5408
(214) 771-4603
(214) 771-4610
Mailing address
515 E I30, ROCKWALL, TX 75087-5408
(214) 771-4603
(214) 771-4610

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS037269
PA
1223G0001X
General Practice Dentistry
Primary
27058
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2849333-01
TX
Enumeration date
03/23/2010
Last updated
10/24/2012
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