| Rockwall Professionals Llc | |
|
3140 Horizon Rd Ste 103 Rockwall TX 75032-7819 | |
| (469) 651-1776 | |
| Not Available |
| Full Name | Rockwall Professionals Llc |
|---|---|
| Speciality | Dentist |
| Location | 3140 Horizon Rd Ste 103, Rockwall, Texas |
| Authorized Official Name and Position | Mitchell Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwall Professionals Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 343-0818 | Rockwall Professionals Llc 3140 Horizon Rd Ste 103 Rockwall TX 75032-7819 Ph: (469) 651-1776 |
| NPI Number | 1255083002 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255083002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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