Organization
CAVITY CRUSADER PC
Active
Other names
Firewheel Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TRAN DDS (CEO)
(214) 529-7143
Entity
Organization
Contact information
Practice address
4502 RIVER OAKS PKWY, SUITE 200, GARLAND, TX 75044-5080
(214) 703-5490
(214) 703-5474
Mailing address
4502 RIVER OAKS PKWY, SUITE 200, GARLAND, TX 75044-5080
(214) 703-5490
(214) 703-5474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21061
TX
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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