Organization
BLISS DENTAL LUBBOCK PLLC
Active
Other names
Bliss Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4819 AVENUE Q, LUBBOCK, TX 79412-2209
(806) 741-4101
(806) 741-4104
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
09/22/2022
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