| Crystal Creek Dental | |
|
4637 Hedgcoxe Rd Ste 112 Plano TX 75024-3963 | |
| (972) 377-8866 | |
| (972) 377-8870 |
| Full Name | Crystal Creek Dental |
|---|---|
| Speciality | Dentist |
| Location | 4637 Hedgcoxe Rd Ste 112, Plano, Texas |
| Authorized Official Name and Position | An Q Le (PRESIDENT) |
| Authorized Official Contact | 9723778866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Creek Dental 4637 Hedgcoxe Rd Ste 112 Plano TX 75024-3963 Ph: (972) 377-8866 | Crystal Creek Dental 4637 Hedgcoxe Rd Ste 112 Plano TX 75024-3963 Ph: (972) 377-8866 |
| NPI Number | 1144497504 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144497504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22204 (Texas) | Primary |
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