Organization
BLP DENTAL GROUP PLLC
Active
Other names
Vida Dental Buda
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA RYAN DDS (OWNER)
(415) 710-9601
Entity
Organization
Contact information
Practice address
15300 INTERSTATE 35 STE 300, BUDA, TX 78610-9772
(512) 823-8183
Mailing address
7113 GARNET MILL LN, AUSTIN, TX 78744-8721
(415) 710-9601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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