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Organization
4TH STREET DENTAL, PLLC
Active
Organization
4TH STREET DENTAL, PLLC
Active
Other names
Family Smiles of Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
CRIAG FLEMING COPELAND DMD (OWNER/DMD)
(940) 220-7833
Entity
Organization
Contact information
Practice address
5709 4TH ST, LUBBOCK, TX 79416
(940) 220-7833
Mailing address
3600 E MCKINNEY ST STE 100, DENTON, TX 76209-7557
(940) 312-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25735
TX
Other
Enumeration date
02/22/2018
Last updated
07/27/2018
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