Active Life Dentistry | |
13611 Skinner Rd Suite 100 Cypress TX 77429-2797 | |
(281) 970-4000 | |
(281) 213-4105 |
Full Name | Active Life Dentistry |
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Speciality | Clinic/center - Dental |
Location | 13611 Skinner Rd, Cypress, Texas |
Authorized Official Name and Position | Christopher Michael Blume (DENTIST) |
Authorized Official Contact | 2819704000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Active Life Dentistry 13611 Skinner Rd Suite 100 Cypress TX 77429-2797 Ph: (281) 970-4000 | Active Life Dentistry 13611 Skinner Rd Suite 100 Cypress TX 77429-2797 Ph: (281) 970-4000 |
NPI Number | 1073904413 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 10/13/2020 |
Identifier | Type | State | Issuer |
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1073904413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 19333 (Texas) | Primary |
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