Organization
CROWN DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M RAMIREZ DDS (OWNER DENTIST)
(972) 509-9505
Entity
Organization
Contact information
Practice address
1108 DOBIE DRIVE, SUITE 101, PLANO, TX 75074
(972) 509-9505
(972) 509-9360
Mailing address
1108 DOBIE DRIVE, SUITE 101, PLANO, TX 75074
(972) 509-9505
(972) 509-9360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B109771
DELTA DENTAL
CA
Enumeration date
03/25/2008
Last updated
03/25/2008
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