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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