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General NPI Number Information
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NPI Number | 1104263508
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Entity Type | Organization
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Legal Business Name | LUZ MARIA ROJAS, D.D.S., P.L.L.C.
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Dates
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Enumeration Date | 05/27/2013
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 110 VISION PARK BLVD. SUITE 100
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City | SHENANDOAH
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State | TX
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Zip | 77384-8044
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Country | US
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Telephone | 936-231-8705
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Fax | 936-447-9681
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Provider Business Mailing Address
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Address Line | 110 VISION PARK BLVD. SUITE 100
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City | SHENANDOAH
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State | TX
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Zip | 77384-8044
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Country | US
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Telephone | 936-231-8705
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Fax | 936-447-9681
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LUZ M ROJAS
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Credential | DDS
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Telephone | 936-231-8705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21458
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License Number State | TX
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