Organization
TOOTH IN BOOTS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEE RUGAMA DDS (PEDIATRIC DENTIST)
(562) 235-9110
Entity
Organization
Contact information
Practice address
22377 BELLAIRE BLVD STE 200, RICHMOND, TX 77407-3926
(832) 280-7545
Mailing address
22377 BELLAIRE BLVD STE 200, RICHMOND, TX 77407-3926
(832) 280-7545
(832) 827-8494
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
31713
TX
Other
Enumeration date
09/06/2017
Last updated
08/30/2022
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