Healthcare Provider Details
I. General information
NPI: 1801504626
Provider Name (Legal Business Name): RHD DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2022
Last Update Date: 10/30/2023
Certification Date: 10/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10610 GASTON ROAD SUITE 120
KATY TX
77494
US
IV. Provider business mailing address
5026 SKIPPING STONE LN
SUGAR LAND TX
77479-1668
US
V. Phone/Fax
- Phone: 832-744-7447
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAINSIH
DHUKA
Title or Position: PRESIDENT
Credential: DDS
Phone: 832-744-7447