# CRYSTAL FALLS FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tucker Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417135625
- **Authorized official:** DR. JONATHAN DANIEL TUCKER D.D.S. (OWNER)
- **Authorized official phone:** (512) 260-9333

## Contact information

- **Practice address:** 10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
- **Practice address phone:** (512) 260-9333
- **Practice address fax:** (512) 260-9331
- **Mailing address:** 10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
- **Mailing address phone:** (512) 260-9333
- **Mailing address fax:** (512) 260-9331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22102 | TX | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 06/23/2008