| Blvd Dentistry Spring Pllc | |
|
21301 Kuykendahl Rd Ste D Spring TX 77379-2614 | |
| (281) 407-4561 | |
| Not Available |
| Full Name | Blvd Dentistry Spring Pllc |
|---|---|
| Speciality | Dentist |
| Location | 21301 Kuykendahl Rd Ste D, Spring, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 6308773520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blvd Dentistry Spring Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Blvd Dentistry Spring Pllc 21301 Kuykendahl Rd Ste D Spring TX 77379-2614 Ph: (281) 407-4561 |
| NPI Number | 1811496722 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811496722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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