Jonathan Caleb Rossall D.D.S.,M.M.SC.

NPI 1699802744 - Dentist - 1223E0200X

NPI Details
NPI 1699802744
Gender Male
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4605 OLD BULLARD RD
TYLER TX, 75703-1232, US
Phone (903) 939-3636
Fax (930) 939-1687
Business Location
4605 OLD BULLARD RD
TYLER TX, 75703-1232, US
Phone (903) 939-3636
Fax (930) 939-1687
Toxanomy
Taxonomy Code 1223E0200X
License State Texas
License Number 22596
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According to our database, Dr. Jonathan Caleb Rossall D.D.S.,M.M.SC. NPI is 1699802744, taxonomy code is 1223E0200X and license number is 22596, license state is located at Texas. Jonathan Caleb Rossall D.D.S.,M.M.SC. physically located at 4605 Old Bullard Rd, Tyler TX, 75703-1232. NPI Number Jonathan Caleb Rossall D.D.S.,M.M.SC. has the Individual type.

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1699802744 NPI number is provided on an as is basis without warranty of any kind. 1699802744 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Caleb Rossall D.D.S.,M.M.SC. are for informational purposes only.