Passionate Dental Wellness PA Corporation

NPI #1932871100 in Jasper, Texas

Provider Information

NPI Number: 1932871100
Entity Type: Organization
Organization Name: Passionate Dental Wellness PA Corporation
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 103 W GIBSON ST STE 112
City: Jasper
State: Texas
ZIP Code: 75951-5062
Phone: (409) 224-8357

Authorized Official

Name: DR. PATRICK M RALPH, DMD
Title: OWNER
Phone: (409) 224-8357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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