Organization
CRDENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA RAVAL DDS (DENTIST)
(630) 815-9633
Entity
Organization
Contact information
Practice address
1107 S MACARTHUR BLVD, IRVING, TX 75060-3827
(972) 254-2273
Mailing address
631 E ROYAL LN APT 3003, IRVING, TX 75039-3571
(630) 815-9633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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