Organization
CRYSTAL FALLS DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY THOMAS LOFTUS (OWNER)
(512) 260-7400
Entity
Organization
Contact information
Practice address
500 CRYSTAL FALLS PARKWAY, LEANDER, TX 78641-1921
(512) 260-7400
(512) 260-7409
Mailing address
500 CRYSTAL FALLS PARKWAY, LEANDER, TX 78641
(512) 260-7400
(512) 260-7409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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