Organization
DALLAS DENTISTY ASSOCIATES
Active
Other names
Crystal Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN Q LE DDS (PRESIDENT)
(972) 377-8866
Entity
Organization
Contact information
Practice address
4637 HEDGCOXE RD STE 112, PLANO, TX 75024-3963
(972) 377-8866
(972) 377-8870
Mailing address
4637 HEDGCOXE RD STE 112, PLANO, TX 75024-3963
(972) 377-8866
(972) 377-8870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22204
TX
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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