| NPI | 1679040604 |
|---|---|
| Doing Business As | 1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULIAN EDWARD MARTINEZ Owner/ General Dentist 832-322-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |