Organization
CRESCENT DENTAL-SAN MARCOS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
651 BARNES DR. BLDG 2 STE 205, SAN MARCOS, TX 78666
(512) 805-4867
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
06/15/2022
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