| NPI | 1295096618 |
|---|---|
| Doing Business As | ENERGY SQUARE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BILL BLANDFORD Owner 214-369-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 11881) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2013-01-29 |