Bl Dental & Orthodontics Pllc | |
2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 | |
(469) 666-3730 | |
(469) 666-3732 |
Full Name | Bl Dental & Orthodontics Pllc |
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Speciality | Dentist |
Location | 2200 Los Rios Blvd Ste 100, Plano, Texas |
Authorized Official Name and Position | Mohammad Chowdhury (DENTIST) |
Authorized Official Contact | 4696663730 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bl Dental & Orthodontics Pllc 2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 Ph: (469) 666-3730 | Bl Dental & Orthodontics Pllc 2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 Ph: (469) 666-3730 |
NPI Number | 1568945269 |
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Provider Enumeration Date | 09/10/2018 |
Last Update Date | 02/05/2019 |
Medicare PECOS PAC ID | 4981949823 |
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Medicare Enrollment ID | O20181220000978 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568945269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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