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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYLLIS A ROUSSEAU, DMD

Active

DR. RYLLIS A ROUSSEAU, DMD is a Pediatric Dentistry healthcare provider located in LACKLAND A F B, Texas. NPI 1447266721 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LACKLAND A F B, TX

Registration Details

NPI Number
1447266721
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2006 (20.01466075521 yrs)
Last Updated
Jul 8, 2007
License
4462 (AL)

Practice Information

Address
1615 TRUEMPER ST
LACKLAND A F B, TX, 782365511
Browse TX providers · Browse ZIP 78236
Phone
2102926385
Fax
2102925211
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in LACKLAND A F B, TX

Name Credential NPI
DR. THOMAS RICHARD SCHNEID D.M.D., M.S. 1578541934
DR. PAUL MICHAEL ROGERS DDS/MS 1275591059
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.