| Crossroads Dental Group | |
|
409 E Crockett St Luling TX 78648-2601 | |
| (830) 875-3521 | |
| (830) 875-2212 |
| Full Name | Crossroads Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 409 E Crockett St, Luling, Texas |
| Authorized Official Name and Position | Christine M Hervas (OWNER) |
| Authorized Official Contact | 8308753521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dental Group 409 E Crockett St Luling TX 78648-2601 Ph: (830) 875-3521 | Crossroads Dental Group 409 E Crockett St Luling TX 78648-2601 Ph: (830) 875-3521 |
| NPI Number | 1588987838 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588987838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20043 (Texas) | Primary |
Crossroads Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Crockett St, Luling, TX 78648 Phone: 830-875-3521 Fax: 830-875-2212 |