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NPI Code Detail

MEDICARE: DR. JANIS MARIE ROLLOW DDS

MEDICARE: DR. JANIS MARIE ROLLOW DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist13523TX

General Provider Information

NPI Number : 1932448636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANIS MARIE ROLLOW DDS
Provider Business Mailing Address
First Line : 5811 STILL FOREST DR
Second Line :
City : DALLAS
State : TX
Zip : 75252-4914
Country : US
Telephone Number : 972-768-1002
Fax Number : 972-960-1408
Provider Business Practice Location Address
First Line : 5811 STILL FOREST DR
Second Line :
City : DALLAS
State : TX
Zip : 75252-4914
Country : US
Telephone Number : 972-768-1002
Fax Number : 972-960-1408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2013
Last Update Date : 01/31/2013

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Directions to “ DR. JANIS MARIE ROLLOW DDS” Practice Location

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