Organization
CRESTWAY PARK DENTAL, P.A.
Active
Other names
Allen Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH LIVELY (BUSINESS MANAGER)
(903) 675-3811
Entity
Organization
Contact information
Practice address
208 CRESTWAY ST, ATHENS, TX 75751
(903) 675-3811
(903) 675-2800
Mailing address
208 CRESTWAY ST, ATHENS, TX 75751
(903) 675-3811
(903) 675-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22191
TX
Other
Enumeration date
07/23/2008
Last updated
04/14/2022
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