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1780693960
CRYSTAL DENTAL, P.A.
MANSFIELD, TX
NPI
1780693960
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Entity Type
Organization
Authorized Contact
BRIAN T. LE
Owner
817-473-6200
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 21298)
Enumeration Date
2006-08-05
Last Update Date
2018-03-06
Business Address
CRYSTAL DENTAL, P.A.
2880 HIGHWAY 157 N SUITE 102
MANSFIELD, TX 76063-8849
Phone number: 817-473-6200
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Mailing Address
CRYSTAL DENTAL, P.A.
1114 E. SEMINARY DR
FORT WORTH, TX 76115
Phone number: 817-921-0883
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