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Individual

DR. RONALD KEITH RISINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
8 ACADIANA CT, BEAUMONT, TX 77706-3012
(409) 899-4884
Mailing address
3190 NORTH ST, BEAUMONT, TX 77702-1420
(409) 924-0002
(409) 924-0005

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15661
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15661
DENTAL LICENSE
TX
Enumeration date
04/19/2007
Last updated
11/22/2024
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