Individual
RAURIE QUINN PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 E LEAGUE CITY PKWY, LEAGUE CITY, TX 77573-7107
(713) 346-9997
Mailing address
2555 E LEAGUE CITY PKWY, LEAGUE CITY, TX 77573-7107
(810) 449-1512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.004682
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42204
TX
Other
Enumeration date
08/01/2023
Last updated
02/27/2026
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