Organization · Type 2 NPI

Blue Skies of Texas Dental, PLLC

Dental Clinic/Center · San Antonio, TX

NPI number 1679040604 Active

Practice location

5100 John D Ryan Blvd
San Antonio, TX 78245-3527

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

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NPI record

NPI: 1679040604
Entity type: Organization (Type 2)
Issued: Oct 29, 2018
Last updated: Oct 29, 2018
Status: Active

Other names

<unavail>
1. Blue Skies West Dental and 2. Blues Skies East Dental · doing business as
1. Blue Skies West Dental and 2. Blues Skies East Dental · doing business as

Authorized official

Dr. Julian Edward Martinez, DDS
Owner/ General Dentist
(832) 322-2310

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About NPI 1679040604

Blue Skies of Texas Dental, PLLC's National Provider Identifier is 1679040604, issued on Oct 29, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 29, 2018.