Mlcak, Roxane G

Mlcak, Roxane G is an individual health care provider with primary practice located at 1605 Rock Prairie Rd Ste 214 , College Station TX 77845-8358. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mlcak, Roxane G can be contacted via phone (979) 696-4511.

Contact Information

Primary practice address
1605 Rock Prairie Rd Ste 214 College Station TX 77845-8358
Phone: (979) 696-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15745 Texas

Profile Details

NPI number 1780806455
LBN Legal business name Mlcak, Roxane G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780806455 NPPES
Texas Other 82D692 BCBS PROVIDER #

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