Organization
LULING CROSSROADS PLLC
Active
Other names
Crossroads Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMERA TORRES (CREDENTIALING SPECIALIST)
(512) 809-4162
Entity
Organization
Contact information
Practice address
409 E CROCKETT ST, LULING, TX 78648-2601
(830) 875-3521
(830) 875-2212
Mailing address
409 E CROCKETT ST, LULING, TX 78648-2601
(830) 875-3521
(830) 875-2212
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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