# ALD CYPRESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Life Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073904413
- **Authorized official:** DR. CHRISTOPHER MICHAEL BLUME DDS (DENTIST)
- **Authorized official phone:** (281) 970-4000

## Contact information

- **Practice address:** 13611 SKINNER RD, SUITE 100, CYPRESS, TX 77429-2797
- **Practice address phone:** (281) 970-4000
- **Practice address fax:** (281) 213-4105
- **Mailing address:** 13611 SKINNER RD, SUITE 100, CYPRESS, TX 77429-2797
- **Mailing address phone:** (281) 970-4000
- **Mailing address fax:** (281) 213-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 19333 | TX | Yes |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 10/13/2020