Organization
SIMPLE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GREEN (OFFICE MANAGER)
(817) 928-5659
Entity
Organization
Contact information
Practice address
1012 S CROWLEY RD STE C, CROWLEY, TX 76036-3664
(817) 928-5659
(817) 241-0485
Mailing address
PO BOX 1216, ALVARADO, TX 76009-1216
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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