Organization
CRYSTAL FALLS FAMILY DENTISTRY, PLLC
Active
Other names
Tucker Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DANIEL TUCKER D.D.S. (OWNER)
(512) 260-9333
Entity
Organization
Contact information
Practice address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
(512) 260-9331
Mailing address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
(512) 260-9331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22102
TX
Other
Enumeration date
02/11/2008
Last updated
06/23/2008
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