| Blu Dental Group Pc | |
|
3975 Old Jacksonville Rd Tyler TX 75701-8519 | |
| (972) 416-2700 | |
| Not Available |
| Full Name | Blu Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3975 Old Jacksonville Rd, Tyler, Texas |
| Authorized Official Name and Position | Tori Kim (MANAGER) |
| Authorized Official Contact | 2133000506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blu Dental Group Pc 3975 Old Jacksonville Rd Tyler TX 75701-8519 Ph: () - | Blu Dental Group Pc 3975 Old Jacksonville Rd Tyler TX 75701-8519 Ph: (972) 416-2700 |
| NPI Number | 1326559022 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 10/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326559022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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