| Tooth In Boots Pediatric Dentistry, Llc | |
|
22377 Bellaire Blvd Ste 200 Richmond TX 77407-3926 | |
| (832) 280-7545 | |
| Not Available |
| Full Name | Tooth In Boots Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 22377 Bellaire Blvd Ste 200, Richmond, Texas |
| Authorized Official Name and Position | Edward Lee Rugama (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5622359110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth In Boots Pediatric Dentistry, Llc 22377 Bellaire Blvd Ste 200 Richmond TX 77407-3926 Ph: (832) 280-7545 | Tooth In Boots Pediatric Dentistry, Llc 22377 Bellaire Blvd Ste 200 Richmond TX 77407-3926 Ph: (832) 280-7545 |
| NPI Number | 1427576990 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427576990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 31713 (Texas) | Primary |
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