Organization
4TH STREET DENTAL, PLLC
Active
Other names
Family Smiles of Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
CRIAG FLEMING COPELAND DMD (OWNER/DMD)
(940) 220-7833
Entity
Organization
Contact information
Practice address
5709 4TH ST, LUBBOCK, TX 79416
(940) 220-7833
Mailing address
3600 E MCKINNEY ST STE 100, DENTON, TX 76209-7557
(940) 312-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25735
TX
Other
Enumeration date
02/22/2018
Last updated
07/27/2018
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