Individual
DANE CRAIG RISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6901 MEDICAL CENTER DR STE 120, ORANGE, TX 77630-1410
(409) 216-1133
Mailing address
6901 MEDICAL CENTER DR STE 120, ORANGE, TX 77630-1410
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40340
TX
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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