| Crossroads Dental Of Victoria Pllc | |
|
104 Broadmoor St. Suite #400 Victoria TX 77904 | |
| (361) 262-0091 | |
| (361) 333-1564 |
| Full Name | Crossroads Dental Of Victoria Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 Broadmoor St., Victoria, Texas |
| Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dental Of Victoria Pllc Po Box 734753 Dallas TX 75373-4753 Ph: (361) 262-0091 | Crossroads Dental Of Victoria Pllc 104 Broadmoor St. Suite #400 Victoria TX 77904 Ph: (361) 262-0091 |
| NPI Number | 1295446292 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295446292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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