Organization
CROSSROADS DENTAL OF VICTORIA PLLC
Active
Other names
Crossroads Dental of Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
104 BROADMOOR ST., SUITE #400, VICTORIA, TX 77904
(361) 262-0091
(361) 333-1564
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(361) 262-0091
(361) 333-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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