Individual
DR. GARY RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5177 RICHMOND AVE, STE 150 LONGHORN DENTAL, HOUSTON, TX 77056
(713) 960-9926
Mailing address
7517 CAMERON ROAD, SUITE 107 LONGHORN DENTAL ASSOCIATES PC, AUSTIN, TX 78752
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14561
TX
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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