Organization
ROCK THAT SMILE PEDIATRIC DENTISTRY PLLC
Active
Other names
Lakeline Rising Stars Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B GREGERSON D.M.D. (OWNER)
(512) 266-7200
Entity
Organization
Contact information
Practice address
14005 N. HWY 183, #800, AUSTIN, TX 78717
(512) 266-7200
(512) 583-0675
Mailing address
14005 N. HWY 183, # 800, AUSTIN, TX 78717
(512) 266-7200
(512) 583-0675
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
03/17/2015
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