Cherry Blossom Molina Pllc

NPI #1871978072 in Burleson, Texas

Provider Information

NPI Number: 1871978072
Entity Type: Organization
Organization Name: Cherry Blossom Molina Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 29, 2015
Last Updated: Jul 29, 2015

Practice Location

Address: 811 NE ALSBURY BLVD
Address 2: SUITE 600
City: Burleson
State: Texas
ZIP Code: 76028-2668
Phone: (817) 756-8647

Authorized Official

Name: ANTONIO MOLINA, DDS
Title: PRESIDENT
Phone: (305) 632-2530

Specialties & Taxonomy Codes

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

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