Provider Demographics
NPI:1235207317
Name:TRAYLOR, RALPH ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ANTHONY
Last Name:TRAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4001 GARTH RD
Mailing Address - Street 2:STE 104
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3115
Mailing Address - Country:US
Mailing Address - Phone:281-427-4736
Mailing Address - Fax:281-427-7127
Practice Address - Street 1:4001 GARTH RD
Practice Address - Street 2:STE 104
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3115
Practice Address - Country:US
Practice Address - Phone:281-427-4736
Practice Address - Fax:281-427-7127
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry