NPI | 1316252778 |
---|---|
Doing Business As | BLVD DENTISTRY |
Entity Type | Organization |
Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-08-10 |
Last Update Date | 2018-11-02 |