Organization
RICHARD L. INGRAHAM, DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. INGRAHAM D.D.S., M.S. (PRESIDENT)
(361) 992-4746
Entity
Organization
Contact information
Practice address
5525 S STAPLES ST STE C, CORPUS CHRISTI, TX 78411-5366
(361) 992-4746
(361) 992-8095
Mailing address
5525 S STAPLES ST STE C, CORPUS CHRISTI, TX 78411-5366
(361) 992-4746
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8441
TX
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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