Individual
DR. BRYAN CHARLES RATHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 MEDICAL CENTER PKWY, SUITE 400, HUNTSVILLE, TX 77340-4945
(936) 295-8383
Mailing address
665 ELKINS LK, HUNTSVILLE, TX 77340-7316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30941
TX
1223G0001X
General Practice Dentistry
30941
TX
Other
Enumeration date
06/07/2015
Last updated
07/21/2022
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