Organization
FIVE STAR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY RICKETTS DDS (OWNER)
(281) 890-0207
Entity
Organization
Contact information
Practice address
11902 JONES RD, #F, HOUSTON, TX 77070-5233
(281) 890-0207
(281) 890-0349
Mailing address
11902 JONES RD, #F, HOUSTON, TX 77070-5233
(281) 890-0207
(281) 890-0349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14561
TX
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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