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Organization
BILL BLANDFORD DDS PC
Active
Organization
BILL BLANDFORD DDS PC
Active
Other names
Energy Square Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL BLANDFORD (OWNER)
(214) 369-9966
Entity
Organization
Contact information
Practice address
4849 GREENVILLE AVE, SUITE 173, DALLAS, TX 75206-4130
(214) 369-9966
(214) 368-0809
Mailing address
4849 GREENVILLE AVE, SUITE 173, DALLAS, TX 75206-4130
(214) 369-9966
(214) 368-0809
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
11881
TX
Other
Enumeration date
06/01/2012
Last updated
01/29/2013
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