Blvd Dentistry Richmond Pllc

NPI #1699254318 in Richmond, Texas

Provider Information

NPI Number: 1699254318
Entity Type: Organization
Organization Name: Blvd Dentistry Richmond Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 18320 W. AIRPORT RD
Address 2: SUITE 200
City: Richmond
State: Texas
ZIP Code: 77407
Phone: (972) 590-8809

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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