Organization
RISING STARS ORTHO MARBLE FALLS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENTHES FIELDS (CREDENTIALING SPECIALIST)
(407) 684-3738
Entity
Organization
Contact information
Practice address
608 GATEWAY CENTRAL STE 201, MARBLE FALLS, TX 78654-6356
(830) 693-7044
Mailing address
10824 E CRYSTAL FALLS PKWY STE 203, LEANDER, TX 78641-4301
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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