# BLOSSOM DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306204250
- **Authorized official:** DR. DARSHANABEN PATEL DDS MSD (PRESIDENT)
- **Authorized official phone:** (832) 284-4484

## Contact information

- **Practice address:** 17500 EL CAMINO REAL, HOUSTON, TX 77058-3032
- **Practice address phone:** (832) 284-4484
- **Mailing address:** 17500 EL CAMINO REAL, HOUSTON, TX 77058-3032
- **Mailing address phone:** (832) 284-4484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 27374 | TX | Yes |

## Other

- **Enumeration date:** 02/07/2016
- **Last updated:** 02/07/2016