| Ald Lakewood, Pllc | |
|
12710 Grant Road Cypress TX 77429 | |
| (281) 970-4000 | |
| (281) 213-4105 |
| Full Name | Ald Lakewood, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12710 Grant Road, Cypress, Texas |
| Authorized Official Name and Position | Chris M Blume (OWNER) |
| Authorized Official Contact | 2819704000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ald Lakewood, Pllc 13611 Skinner Rd Suite 100 Cypress TX 77429-2797 Ph: (281) 970-4000 | Ald Lakewood, Pllc 12710 Grant Road Cypress TX 77429 Ph: (281) 970-4000 |
| NPI Number | 1225402670 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225402670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Texas) | Primary |
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