Organization
RIGBY ADVANCED DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT LEE RIGBY D.D.S. (OWNER)
(817) 876-0573
Entity
Organization
Contact information
Practice address
12912 HILL COUNTRY BLVD, BUILDING F, SUITE 205, BEE CAVE, TX 78738-6328
(817) 876-0573
Mailing address
12912 HILL COUNTRY BLVD, BUILDING F, SUITE 205, BEE CAVE, TX 78738-6328
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
24460
TX
Other
Enumeration date
06/06/2010
Last updated
06/06/2010
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