| Crystal Smiles Pllc | |
|
1320 Corsicana Hwy. 160 Hilsboro TX 76645 | |
| (732) 423-4336 | |
| Not Available |
| Full Name | Crystal Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 Corsicana Hwy., Hilsboro, Texas |
| Authorized Official Name and Position | Pavan Chiluvoju (OWNER DENTIST) |
| Authorized Official Contact | 7324234336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Smiles Pllc 1320 Corsicana Hwy. 160 Hilsboro TX 76645 Ph: () - | Crystal Smiles Pllc 1320 Corsicana Hwy. 160 Hilsboro TX 76645 Ph: (732) 423-4336 |
| NPI Number | 1851769376 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851769376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28728 (Texas) | Primary |