Bluebonnet Dental, P.a.

NPI #1437327467 in Carrollton, Texas

Provider Information

NPI Number: 1437327467
Entity Type: Organization
Organization Name: Bluebonnet Dental, P.a.
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2008
Last Updated: Feb 12, 2008

Practice Location

Address: 2150 N JOSEY LN
Address 2: SUITE 306
City: Carrollton
State: Texas
ZIP Code: 75006-2991
Phone: (972) 242-5890

Authorized Official

Name: DR. THANH NGUYEN FERNANDEZ
Title: PRESIDENT
Phone: (972) 242-5890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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