| NPI | 1629621875 |
|---|---|
| Doing Business As | CROSSROADS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC S MOON Owner Dentist 832-605-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |