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Organization

PEDIATRIC DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM ROSS POSNICK DDS (PEDIATRIC DENTIST/OWNER)
(409) 744-4551
Entity
Organization

Contact information

Practice address
2501 65TH ST, SUITE A, GALVESTON, TX 77551-2218
(409) 744-4551
(409) 744-5702
Mailing address
2501 65TH ST, SUITE A, GALVESTON, TX 77551-2218
(409) 744-4551
(409) 744-5702

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14433
TX
1223P0221X
Pediatric Dentistry
15123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041777601
TX
05
DENT 24368
TX
Enumeration date
02/07/2012
Last updated
02/07/2012
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