Organization
CROSS CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOD DAVID MOORE DDS (OWNER)
(254) 655-4342
Entity
Organization
Contact information
Practice address
1199 OLD LORENA RD, LORENA, TX 76655-3176
(254) 655-4323
Mailing address
10104 SADDLE CREEK RD, WACO, TX 76708-7290
(254) 655-4323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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