| NPI | 1073904413 |
|---|---|
| Doing Business As | ACTIVE LIFE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BLUME Dentist 281-970-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 19333) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2020-10-13 |