| Bluebonnet Dental, P.a. | |
|
2150 N Josey Ln Suite 306 Carrollton TX 75006-2991 | |
| (972) 242-5890 | |
| (972) 242-5906 |
| Full Name | Bluebonnet Dental, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 2150 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Thanh Nguyen Fernandez (PRESIDENT) |
| Authorized Official Contact | 9722425890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Dental, P.a. 2150 N Josey Ln Suite 306 Carrollton TX 75006-2991 Ph: (972) 242-5890 | Bluebonnet Dental, P.a. 2150 N Josey Ln Suite 306 Carrollton TX 75006-2991 Ph: (972) 242-5890 |
| NPI Number | 1437327467 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437327467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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