| Crystal Dentistry | |
|
3970 Fm 2181 Ste 200 Hickory Creek TX 75065-4249 | |
| (940) 600-5365 | |
| Not Available |
| Full Name | Crystal Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3970 Fm 2181 Ste 200, Hickory Creek, Texas |
| Authorized Official Name and Position | Alyaa K Mafrag (OWNER) |
| Authorized Official Contact | 2108038889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Dentistry 3970 Fm 2181 Ste 200 Hickory Creek TX 75065-4249 Ph: (940) 600-5365 | Crystal Dentistry 3970 Fm 2181 Ste 200 Hickory Creek TX 75065-4249 Ph: (940) 600-5365 |
| NPI Number | 1770369092 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770369092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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