Organization
PEDIATRIC DENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M RALPH DMD (PRESIDENT)
(281) 495-3343
Entity
Organization
Contact information
Practice address
11921 BISSONNET ST, HOUSTON, TX 77099-1425
(281) 495-3343
(281) 495-1125
Mailing address
11921 BISSONNET ST, HOUSTON, TX 77099-1425
(281) 495-3343
(281) 495-1125
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20140
TX
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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