| Cross Creek Dental | |
|
1199 Old Lorena Rd Lorena TX 76655-3176 | |
| (254) 655-4323 | |
| Not Available |
| Full Name | Cross Creek Dental |
|---|---|
| Speciality | Dentist |
| Location | 1199 Old Lorena Rd, Lorena, Texas |
| Authorized Official Name and Position | Dod David Moore (OWNER) |
| Authorized Official Contact | 2546554342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Creek Dental 10104 Saddle Creek Rd Waco TX 76708-7290 Ph: (254) 655-4323 | Cross Creek Dental 1199 Old Lorena Rd Lorena TX 76655-3176 Ph: (254) 655-4323 |
| NPI Number | 1639733116 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639733116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |