Provider Demographics
NPI:1982032348
Name:GULFTON DENTAL PA
Entity Type:Organization
Organization Name:GULFTON DENTAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-665-2483
Mailing Address - Street 1:5608 GULFTON ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2700
Mailing Address - Country:US
Mailing Address - Phone:713-665-2483
Mailing Address - Fax:713-665-0120
Practice Address - Street 1:5608 GULFTON ST STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2700
Practice Address - Country:US
Practice Address - Phone:713-665-2483
Practice Address - Fax:713-665-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty