| NPI | 1255707345 |
|---|---|
| Doing Business As | BLU DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARA FATOUREHCHIAN Managing Member 214-493-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |