| NPI | 1578940102 |
|---|---|
| Doing Business As | RICHMOND AVENUE DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A RASSNER President 832-930-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 16793) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 27441) |
| 1223P0300X Dentist, Periodontics (Licence: TX 24568) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |