| Maa Crystal Dental | |
|
402 E Zavala St Ste 1 Crystal City TX 78839-3337 | |
| (661) 618-4215 | |
| Not Available |
| Full Name | Maa Crystal Dental |
|---|---|
| Speciality | Dentist |
| Location | 402 E Zavala St Ste 1, Crystal City, Texas |
| Authorized Official Name and Position | Ve N K A T A R A J E P A S U P Ule Ti (OWNER) |
| Authorized Official Contact | 6616184215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maa Crystal Dental 402 E Zavala St Ste 1 Crystal City TX 78839-3337 Ph: () - | Maa Crystal Dental 402 E Zavala St Ste 1 Crystal City TX 78839-3337 Ph: (661) 618-4215 |
| NPI Number | 1235922659 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235922659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Crystal Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Zavala St Ste 1, Crystal City, TX 78839 Phone: 830-326-2740 |