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Organization
CRYSTAL FALLS FAMILY DENTISTRY, PLLC
Active
Organization
CRYSTAL FALLS FAMILY DENTISTRY, PLLC
Active
Other names
Tucker Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DANIEL TUCKER D.D.S. (OWNER)
(512) 260-9333
Entity
Organization
Contact information
Practice address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
(512) 260-9331
Mailing address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
(512) 260-9331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22102
TX
Other
Enumeration date
02/11/2008
Last updated
06/23/2008
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