# CRDENTAL,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801357637
- **Authorized official:** CHAITANYA RAVAL DDS (DENTIST)
- **Authorized official phone:** (630) 815-9633

## Contact information

- **Practice address:** 1107 S MACARTHUR BLVD, IRVING, TX 75060-3827
- **Practice address phone:** (972) 254-2273
- **Mailing address:** 631 E ROYAL LN APT 3003, IRVING, TX 75039-3571
- **Mailing address phone:** (630) 815-9633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2019
- **Last updated:** 03/26/2019