| NPI | 1316791890 |
|---|---|
| Doing Business As | BLVD DENTISTRY & ORTHODONTICS - CYPRESS |
| Entity Type | Organization |
| Authorized Contact | PAOLA RAMOS Credentialing COO Rdinator 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-06-25 |