Organization
CROWLEY FAMILY DENTAL CENTER
Active
Organization
CROWLEY FAMILY DENTAL CENTER
Active
Other names
Modern Family Dental Hwy 1187
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODALIS PATRICIA SKUR DDS (DOCTOR)
(817) 297-0058
Entity
Organization
Contact information
Practice address
779 FM 1187 E, CROWLEY, TX 76036-4346
(807) 297-0058
(817) 297-7811
Mailing address
779 FM 1187 E, CROWLEY, TX 76036-4346
(807) 297-0058
(817) 297-7811
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
20899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235351495
DELTA DENTAL
TX
01
—
1447431523
DELTA DENTAL
TX
01
—
1801093844
DELTA DENTAL
TX
Enumeration date
02/26/2014
Last updated
02/26/2014
Update your record
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