NPI | 1962848911 |
---|---|
Doing Business As | BLVD DENTISTRY - HEIGHTS |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA ROCHA Sr Credentialing Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25571) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2024-02-27 |