| Crescent Dental-lockhart Pllc | |
|
1906 S Colorado St Ste 110 Lockhart TX 78644-3906 | |
| (512) 398-7070 | |
| Not Available |
| Full Name | Crescent Dental-lockhart Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1906 S Colorado St Ste 110, Lockhart, Texas |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Dental-lockhart Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: () - | Crescent Dental-lockhart Pllc 1906 S Colorado St Ste 110 Lockhart TX 78644-3906 Ph: (512) 398-7070 |
| NPI Number | 1881041507 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881041507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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