| NPI | 1720317290 |
|---|---|
| Doing Business As | CRESTWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | CAROL C CHANG Owner 281-277-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20110) |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2010-05-25 |