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Organization

RAMITRA DENTAL IMPLANTS & PERIODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIDUSHI GUPTA DMD (PERIODONTIST)
(229) 560-4006
Entity
Organization

Contact information

Practice address
431 THIS WAY ST, LAKE JACKSON, TX 77566-5141
(229) 560-4006
Mailing address
4819 CAROLINE ST UNIT 303, HOUSTON, TX 77004-5756

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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