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Blooming Dental, Pllc
Dental Clinic/Center in Cedar Park, Texas
NPI 1982283032

Blooming Dental, Pllc is a Dental Clinic/Center based in Cedar Park, TX and is specialized in Dental. Blooming Dental, Pllc practices in Cedar Park, TX. The NPI Number for Blooming Dental, Pllc is 1982283032 and holds a License No. (Texas).

The current practice location address for Blooming Dental, Pllc is 111 N Vista Ridge Blvd Ste 100, Cedar Park, TX and can be reached out via phone at 512-250-2356 and via fax at 512-532-6516.

Location: 111 N Vista Ridge Blvd Ste 100, Cedar Park, TX, 78613-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982283032
Provider Name
Blooming Dental, Pllc
Credential
Provider Entity Type
Organization
Address
111 N Vista Ridge Blvd Ste 100, Cedar Park, TX, 78613-2425
Phone Number
512-250-2356
Fax Number
512-532-6516
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19039 01 TX TEXAS STATE BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
111 N Vista Ridge Blvd Ste 100
City
Cedar Park
State
Texas
Zip
78613-2425
Phone Number
512-250-2356
Fax Number
512-532-6516
person
Provider Business Mailing Address Details
Address
111 N Vista Ridge Blvd Ste 100
City
Cedar Park
State
Texas
Zip
78613-2425
Phone Number
512-250-2356
Fax Number
512-532-6516
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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