Provider Demographics
NPI:1053516369
Name:POINEAL, RALF FRITZ (DDS)
Entity type:Individual
Prefix:DR
First Name:RALF
Middle Name:FRITZ
Last Name:POINEAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LAMAR AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4492
Mailing Address - Country:US
Mailing Address - Phone:903-785-2662
Mailing Address - Fax:
Practice Address - Street 1:707 LAMAR AVE
Practice Address - Street 2:SUITE F
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4492
Practice Address - Country:US
Practice Address - Phone:903-785-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX189041223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics