Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care

NPI 1174882328 - Dentist - 1223G0001X

NPI Details
NPI 1174882328
Enumeration Date 05/09/2012
Last Updated 05/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RALPH KENNETH RALPH
Position PRESIDENT/OWNER
Phone (936) 327-7477
Fax (936) 327-7479
Practice Location
1114 N WASHINGTON AVE
LIVINGSTON TX, 77351-2336, US
Phone (936) 327-7477
Fax (936) 327-7479
Business Location
1114 N WASHINGTON AVE
LIVINGSTON TX, 77351-2336, US
Phone (936) 327-7477
Fax (936) 327-7479
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 10766
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According to our database, Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care NPI is 1174882328, taxonomy code is 1223G0001X and license number is 10766, license state is located at Texas. Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care physically located at 1114 N Washington Ave, Livingston TX, 77351-2336. NPI Number 1033115704 has the healthcare provider type.

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1174882328 NPI number is provided on an as is basis without warranty of any kind. 1174882328 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care are for informational purposes only.