Organization
CRYSTAL FALLS FAMILY DENTISTRY ,PLLC.
Active
Other names
TUCKER FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TUCKER DDS (OWNER)
(512) 260-9333
Entity
Organization
Contact information
Practice address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
Mailing address
10703 E CRYSTAL FALLS PKWY, LEANDER, TX 78641-2259
(512) 260-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22102
TX
Other
Enumeration date
07/24/2007
Last updated
06/23/2008
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