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Organization
SPECDENT PROFESSIONAL CORPORATION
Active
Organization
SPECDENT PROFESSIONAL CORPORATION
Active
Other names
Richmond Avenue Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A RASSNER DDS (PRESIDENT)
(832) 930-4075
Entity
Organization
Contact information
Practice address
6430 RICHMOND AVE, SUITE 110, HOUSTON, TX 77057-5917
(832) 930-4075
(832) 930-4079
Mailing address
6430 RICHMOND AVE, SUITE 110, HOUSTON, TX 77057-5917
(832) 930-4075
(832) 930-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16793
TX
1223E0200X
Endodontics
27441
TX
1223P0300X
Periodontics
24568
TX
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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