Organization · Type 2 NPI
Longevity Dental
Dental Clinic/Center · Rockwall, TX
NPI number
1669989240
Active
Practice location
510 Turtle Cove Blvd Ste 107
Rockwall, TX 75087-5374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 17186 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1669989240
Longevity Dental's National Provider Identifier is 1669989240, issued on Jan 5, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rockwall, TX. The record was last updated on Jan 5, 2018.