MEDICARE: DR. CHER L RICH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	20946	TX

General Provider Information

NPI Number	:	1952416778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHER L RICH D.D.S.

Provider Business Mailing Address
First Line	:	12607 JONES RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4840
Country	:	US
Telephone Number	:	281-469-6281
Fax Number	:	281-469-6291

Provider Business Practice Location Address
First Line	:	9648 FM 1960 BYPASS RD W
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4039
Country	:	US
Telephone Number	:	281-540-8100
Fax Number	:	281-540-4540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	01/17/2008

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