| Rockwall Da North | |
|
3005 N Goliad St Ste 110 Rockwall TX 75087-1215 | |
| (972) 635-5336 | |
| Not Available |
| Full Name | Rockwall Da North |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3005 N Goliad St Ste 110, Rockwall, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwall Da North 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: () - | Rockwall Da North 3005 N Goliad St Ste 110 Rockwall TX 75087-1215 Ph: (972) 635-5336 |
| NPI Number | 1093502866 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093502866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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