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Organization
JUSTIN G CROCKETT DENTISTRY PLLC
Active
Organization
JUSTIN G CROCKETT DENTISTRY PLLC
Active
Other names
BLVD Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5000 WESTHEIMER RD, SUITE 630, HOUSTON, TX 77056
(713) 255-0780
(713) 255-0781
Mailing address
5000 WESTHEIMER RD, SUITE 630, HOUSTON, TX 77056
(713) 255-0780
(713) 255-0781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
11/02/2018
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