Organization
CRYSTAL FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYADARSHINI BOINPALLY DDS (OWNER)
(330) 338-7080
Entity
Organization
Contact information
Practice address
1560 CARLEMONT DR, CRYSTAL LAKE, IL 60014-2740
(815) 893-6345
(779) 220-4972
Mailing address
1560 CARLEMONT DR, CRYSTAL LAKE, IL 60014-2740
(815) 893-6345
(779) 220-4972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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