| Blvd Dentistry Richmond PLLC | |
|
18320 W. Airport Rd Suite 200 Richmond TX 77407 | |
| (972) 590-8809 | |
| Not Available |
| Full Name | Blvd Dentistry Richmond PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18320 W. Airport Rd, Richmond, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blvd Dentistry Richmond PLLC 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Blvd Dentistry Richmond PLLC 18320 W. Airport Rd Suite 200 Richmond TX 77407 Ph: (972) 590-8809 |
| NPI Number | 1699254318 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699254318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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