Agua Dental

LBN: Blue Dental Pllc
Agua Dental is an health care organization with primary practice located at 2155 Ruben Torres Blvd Suite 4, Brownsville TX 78526. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Blue Dental Pllc can be contacted via phone (956) 380-2482, or through Akhavan, Shahrouz via phone (956) 380-2482.

Contact Information

Primary practice address
2155 Ruben Torres Blvd Suite 4 Brownsville TX 78526
Phone: (956) 380-2482
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Akhavan, Shahrouz Doctor of Dental Surgery (DDS)
Phone: (956) 380-2482

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25304 Texas

Profile Details

NPI number 1770954174
LBN Legal business name Blue Dental Pllc
DBA Doing business as Agua Dental
Authorized official Akhavan, Shahrouz Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2015
Last updated Nov 4th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770954174 NPPES
Texas Other 25304 DENTAL LICENSE NUMBER

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