Organization
CREST FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN CHI LE (OWNER)
(214) 384-5748
Entity
Organization
Contact information
Practice address
4620 NORTHWEST HWY, GARLAND, TX 75043-4911
(214) 384-5748
Mailing address
6500 LAZY OAK LN, PLANO, TX 75024-6119
(214) 384-5748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22755
TX
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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