Organization
BLVD DENTISTRY & ORTHODONTICS - CYPRESS PLLC
Active
Other names
BLVD Dentistry & Orthodontics - Cypress
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
9620 FRY RD, STE 300, CYPRESS, TX 77433
(281) 270-5282
Mailing address
9620 FRY RD STE 300, CYPRESS, TX 77433-4099
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/12/2024
Last updated
02/11/2025
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