Organization
CRYSTAL SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVAN CHILUVOJU (OWNER DENTIST)
(732) 423-4336
Entity
Organization
Contact information
Practice address
1320 CORSICANA HWY., 160, HILSBORO, TX 76645
(732) 423-4336
Mailing address
1320 CORSICANA HWY., 160, HILSBORO, TX 76645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28728
TX
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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