Crystal Falls Family Dentistry, Pllc

NPI #1417135625 in Leander, Texas

Provider Information

NPI Number: 1417135625
Entity Type: Organization
Organization Name: Crystal Falls Family Dentistry, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 11, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 10703 E CRYSTAL FALLS PKWY
City: Leander
State: Texas
ZIP Code: 78641-2259
Phone: (512) 260-9333

Authorized Official

Name: DR. JONATHAN DANIEL TUCKER, D.D.S.
Title: OWNER
Phone: (512) 260-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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