Organization
PASSIONATE DENTAL WELLNESS PA CORPORATION
Active
Other names
Passionate Dental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M RALPH DMD (OWNER)
(409) 224-8357
Entity
Organization
Contact information
Practice address
103 W GIBSON ST STE 112, JASPER, TX 75951-5062
(409) 224-8357
(409) 224-8360
Mailing address
103 W GIBSON ST STE 112, JASPER, TX 75951-5062
(409) 224-8357
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285642017
—
TX
Enumeration date
10/05/2021
Last updated
10/05/2021
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