| Crown Dental | |
|
12805 Cullen Blvd Ste E Houston TX 77047-3759 | |
| (713) 264-7333 | |
| (713) 264-7336 |
| Full Name | Crown Dental |
|---|---|
| Speciality | Dentist |
| Location | 12805 Cullen Blvd, Houston, Texas |
| Authorized Official Name and Position | Emily Lee (DENTIST) |
| Authorized Official Contact | 7132647333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Dental 10260 Westheimer Rd Ste 390 Houston TX 77042-3110 Ph: (713) 977-5300 | Crown Dental 12805 Cullen Blvd Ste E Houston TX 77047-3759 Ph: (713) 264-7333 |
| NPI Number | 1124334586 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124334586 | NPI | - | NPPES |
| 1999716-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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