Organization
TRAIL VIEW DENTAL LLC
Active
Other names
Waters Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORY T CROUCH DDS (OWNER/DENTIST)
(308) 380-7622
Entity
Organization
Contact information
Practice address
2916 W STOLLEY PARK RD STE A, GRAND ISLAND, NE 68801-6808
(308) 380-7622
Mailing address
2916 W STOLLEY PARK RD STE A, GRAND ISLAND, NE 68801-6808
(083) 821-7343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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