Individual
MELISSA VECENTIA GARCIA-ROZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
632 E SANDY LAKE RD, COPPELL, TX 75019-3019
(972) 393-9779
(972) 393-9775
Mailing address
632 E SANDY LAKE RD, COPPELL, TX 75019-3019
(972) 393-9779
(972) 393-9775
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111156904
—
TX
Enumeration date
05/04/2006
Last updated
08/06/2009
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