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Organization
PERIOGOLDENTAL P.A
Active
Organization
PERIOGOLDENTAL P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTINA ROSS DDS (PRESIDENT)
(979) 285-9998
Entity
Organization
Contact information
Practice address
115 N DIXIE DR STE 300, LAKE JACKSON, TX 77566-5958
(979) 285-9998
(979) 480-0411
Mailing address
115 N DIXIE DR STE 300, LAKE JACKSON, TX 77566-5958
(979) 285-9998
(979) 480-0411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20347
TX
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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