Organization
TEXAS DENTAL ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER CROSS DDS (OWNER)
(817) 240-2543
Entity
Organization
Contact information
Practice address
7025 BLALOCK DR, THE COLONY, TX 75056-4449
(817) 240-2543
Mailing address
7025 BLALOCK DR, THE COLONY, TX 75056-4449
(817) 240-2543
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
30809
TX
1223G0001X
General Practice Dentistry
30809
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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