Provider Demographics
NPI:1902563323
Name:RL DENTAL VENTURES
Entity Type:Organization
Organization Name:RL DENTAL VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:REYNOLDS
Authorized Official - Last Name:LAWNIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-784-2952
Mailing Address - Street 1:1800 BERING DR STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3170
Mailing Address - Country:US
Mailing Address - Phone:713-784-2952
Mailing Address - Fax:
Practice Address - Street 1:1800 BERING DR STE 650
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3170
Practice Address - Country:US
Practice Address - Phone:713-784-2952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental