| NPI | 1073021424 |
|---|---|
| Doing Business As | BLUEBONNET DENTAL |
| Entity Type | Organization |
| Authorized Contact | NADER SHAFIK Director 281-788-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-11-04 |