| Crown Dental Pa | |
|
1108 Dobie Drive Suite 101 Plano TX 75074 | |
| (972) 509-9505 | |
| (972) 509-9360 |
| Full Name | Crown Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 Dobie Drive, Plano, Texas |
| Authorized Official Name and Position | Juan M Ramirez (OWNER DENTIST) |
| Authorized Official Contact | 9725099505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Dental Pa 1108 Dobie Drive Suite 101 Plano TX 75074 Ph: (972) 509-9505 | Crown Dental Pa 1108 Dobie Drive Suite 101 Plano TX 75074 Ph: (972) 509-9505 |
| NPI Number | 1336311851 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336311851 | NPI | - | NPPES |
| B109771 | Other | CA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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