L. Patrick Grisanti Ii, Dds, Pa

NPI 1063621639 - Dentist - 1223G0001X

NPI Details
NPI 1063621639
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEONELLO PATRICK LEONELLO
Position OWNER
Phone (972) 772-9505
Fax (972) 722-7506
Practice Location
2504 RIDGE RD
SUITE 204
ROCKWALL TX, 75087-2569, US
Phone (972) 772-9505
Fax (972) 722-7506
Business Location
2504 RIDGE RD
SUITE 204
ROCKWALL TX, 75087-2569, US
Phone (972) 772-9505
Fax (972) 722-7506
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 21801
Remove 1063621639 NPI Number
 

According to our database, L. Patrick Grisanti Ii, Dds, Pa NPI is 1063621639, taxonomy code is 1223G0001X and license number is 21801, license state is located at Texas. L. Patrick Grisanti Ii, Dds, Pa physically located at 2504 Ridge Rd, Rockwall TX, 75087-2569. NPI Number 1033115704 has the healthcare provider type.

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1063621639 NPI number is provided on an as is basis without warranty of any kind. 1063621639 is maintained by the National Plan & Provider Enumeration System. The contents of L. Patrick Grisanti Ii, Dds, Pa are for informational purposes only.