Provider Demographics
NPI:1922659143
Name:R.Z.R. DENTAL MANAGEMENT
Entity Type:Organization
Organization Name:R.Z.R. DENTAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RALSER
Authorized Official - Middle Name:ARCHIE
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:830-302-4181
Mailing Address - Street 1:2180 W STATE HIGHWAY 46 STE 105
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4465
Mailing Address - Country:US
Mailing Address - Phone:830-302-4181
Mailing Address - Fax:
Practice Address - Street 1:2180 W STATE HIGHWAY 46 STE 105
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4465
Practice Address - Country:US
Practice Address - Phone:830-302-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental