| NPI | 1922490648 |
|---|---|
| Doing Business As | BLU DENTAL |
| Entity Type | Organization |
| Authorized Contact | TOM KIM Office Manager 972-416-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-07-21 |