| NPI | 1750765145 |
|---|---|
| Former Legal Business Name | WINCHESTER DENTAL ADMIN |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BLUME Dentist 281-970-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-10-13 |