Organization
CRYSTAL CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN NGUYEN (PRESIDENT)
(972) 377-8866
Entity
Organization
Contact information
Practice address
4637 HEDGCOXE RD, SUITE 112, PLANO, TX 75024-3962
(972) 377-8866
(972) 377-8870
Mailing address
4637 HEDGCOXE RD, SUITE 112, PLANO, TX 75024-3962
(972) 377-8866
(972) 377-8870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21736
TX
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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