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Organization

RM DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN MANEEVESE DDS (OWNER)
(713) 598-7596
Entity
Organization

Contact information

Practice address
6500 NORTH FWY STE 124, HOUSTON, TX 77076-2941
(713) 598-7596
Mailing address
1822 MCILHENNY ST # C, HOUSTON, TX 77004-1251
(713) 598-7596

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
29915
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20125622
DRIVERS LICENSE
TX
Enumeration date
06/11/2018
Last updated
06/16/2018
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