| Blossom Dentistry | |
|
17500 El Camino Real Houston TX 77058-3032 | |
| (832) 284-4484 | |
| Not Available |
| Full Name | Blossom Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 17500 El Camino Real, Houston, Texas |
| Authorized Official Name and Position | Darshanaben Patel (PRESIDENT) |
| Authorized Official Contact | 8322844484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Dentistry 17500 El Camino Real Houston TX 77058-3032 Ph: (832) 284-4484 | Blossom Dentistry 17500 El Camino Real Houston TX 77058-3032 Ph: (832) 284-4484 |
| NPI Number | 1306204250 |
|---|---|
| Provider Enumeration Date | 02/07/2016 |
| Last Update Date | 02/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306204250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 27374 (Texas) | Primary |
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