| Crossroads Dental | |
|
409 E Crockett St Luling TX 78648-2601 | |
| (830) 875-3521 | |
| (830) 875-2212 |
| Full Name | Crossroads Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 409 E Crockett St, Luling, Texas |
| Authorized Official Name and Position | Tammera Torres (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5128094162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dental 409 E Crockett St Luling TX 78648-2601 Ph: (830) 875-3521 | Crossroads Dental 409 E Crockett St Luling TX 78648-2601 Ph: (830) 875-3521 |
| NPI Number | 1992114185 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992114185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Crossroads Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Crockett St, Luling, TX 78648 Phone: 830-875-3521 Fax: 830-875-2212 |