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Organization

CRYSTAL DENTAL CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVEK SINGH DDS (OWNER)
(830) 326-2740
Entity
Organization

Contact information

Practice address
402 E ZAVALA ST STE 1, CRYSTAL CITY, TX 78839-3337
(830) 326-2740
Mailing address
5565 MANSIONS BLFS APT 4301, SAN ANTONIO, TX 78245-0019

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31916
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31916
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
01/08/2018
Last updated
01/08/2018
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