| NPI | 1184008567 |
|---|---|
| Former Legal Business Name | ALDTOWNELAKE |
| Entity Type | Organization |
| Authorized Contact | CHRIS M BLUME Owner 281-970-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 119333) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-18 |