CREST FAMILY DENTAL FORT WORTH PLLC NPI 1104273341

NPI Information

CREST FAMILY DENTAL FORT WORTH PLLC is a general practice dentist in Fort Worth, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CREST FAMILY DENTAL FORT WORTH PLLC NPI is 1104273341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 E SEMINARY DR
SUITE 100
FORT WORTH, TX
ZIP 76115-607
Phone: (817) 484-6468

The provider's authorized official is Lan Chi Le .
The authorized official title is Managing Member and has the following contact phone number (214) 350-8800.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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