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Organization
LEONARD E. CRABTREE, D.D.S., INC.
Active
Organization
LEONARD E. CRABTREE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD E. CRABTREE D.D.S. (PRESIDENT)
(713) 623-0700
Entity
Organization
Contact information
Practice address
1011 AUGUSTA DR, SUITE 209, HOUSTON, TX 77057-2062
(713) 623-0700
(713) 977-1190
Mailing address
1011 AUGUSTA DR, SUITE 209, HOUSTON, TX 77057-2062
(713) 623-0700
(713) 977-1190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R638
BLUE CROSS BLUE SHIELD
TX
01
—
789132
UNITED CONCORDIA
TX
Enumeration date
01/23/2007
Last updated
06/23/2008
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