Gary Ricketts DDS

NPI 1093822645 - Dentist - 122300000X

NPI Details
NPI 1093822645
Gender Male
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5177 RICHMOND AVE
STE 150 LONGHORN DENTAL
HOUSTON TX, 77056, US
Phone (713) 960-9926
Fax
Business Location
7517 CAMERON ROAD
SUITE 107 LONGHORN DENTAL ASSOCIATES PC
AUSTIN TX, 78752, US
Phone (512) 371-1222
Fax (512) 371-3914
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 14561
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According to our database, Dr. Gary Ricketts DDS NPI is 1093822645, taxonomy code is 122300000X and license number is 14561, license state is located at Texas. Gary Ricketts DDS physically located at 5177 Richmond Ave, Houston TX, 77056. NPI Number Gary Ricketts DDS has the Individual type.

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1093822645 NPI number is provided on an as is basis without warranty of any kind. 1093822645 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Ricketts DDS are for informational purposes only.