| Pediatric Dental Wellness | |
|
11921 Bissonnet St Houston TX 77099-1425 | |
| (281) 495-3343 | |
| (281) 495-1125 |
| Full Name | Pediatric Dental Wellness |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11921 Bissonnet St, Houston, Texas |
| Authorized Official Name and Position | Patrick M Ralph (PRESIDENT) |
| Authorized Official Contact | 2814953343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Wellness 11921 Bissonnet St Houston TX 77099-1425 Ph: (281) 495-3343 | Pediatric Dental Wellness 11921 Bissonnet St Houston TX 77099-1425 Ph: (281) 495-3343 |
| NPI Number | 1386867752 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386867752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20140 (Texas) | Primary |
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