Organization
BLUEPUS PLLC
Active
Other names
Pasadental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL PATTNI DDS (CO-OWNER/DDS)
(832) 640-1382
Entity
Organization
Contact information
Practice address
4427 CRENSHAW RD STE 140, PASADENA, TX 77504-3628
(979) 341-9890
Mailing address
810 N DIXIE DR STE A, CLUTE, TX 77531-1518
(832) 640-1382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134551476
DENTIST
TX
Enumeration date
12/08/2023
Last updated
12/08/2023
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