Organization
INNATE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HENDERSON (DIRECTOR)
(469) 842-2012
Entity
Organization
Contact information
Practice address
4708 W PLANO PKWY STE 200, PLANO, TX 75093-5335
(972) 519-0990
(469) 613-0862
Mailing address
4708 W PLANO PKWY STE 200, PLANO, TX 75093-5335
(972) 519-0990
(469) 613-0862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/13/2021
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