Cross Creek Dental

NPI #1639733116 in Lorena, Texas

Provider Information

NPI Number: 1639733116
Entity Type: Organization
Organization Name: Cross Creek Dental
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2019
Last Updated: Apr 30, 2019

Practice Location

Address: 1199 OLD LORENA RD
City: Lorena
State: Texas
ZIP Code: 76655-3176
Phone: (254) 655-4323

Authorized Official

Name: DR. DOD DAVID MOORE, DDS
Title: OWNER
Phone: (254) 655-4342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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