Organization
3RDMOLAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID CROARKIN DDS (OWNER/PROVIDER)
(512) 560-0568
Entity
Organization
Contact information
Practice address
5072 WEST PLANO PKWY #100, PLANO, TX 75093-3044
(972) 267-6244
Mailing address
9204 ASKEW ST, FORT WORTH, TX 76244-6041
(512) 560-0568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
10/24/2019
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