DR. Gary Ricketts, DDS

NPI #1093822645 in Houston, Texas

Provider Information

NPI Number: 1093822645
Entity Type: Individual
Name: DR. Gary Ricketts, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5177 RICHMOND AVE
Address 2: STE 150 LONGHORN DENTAL
City: Houston
State: Texas
ZIP Code: 77056
Phone: (713) 960-9926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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