Crystal Dentistry

LBN: Bloom Dental, Llc
Crystal Dentistry is an health care organization with primary practice located at 3970 Fm 2181 Ste 200 , Hickory Creek TX 75065-4249. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bloom Dental, Llc can be contacted via phone (940) 600-5365, or through Mafrag, Alyaa K via phone (210) 803-8889.

Contact Information

Primary practice address
3970 Fm 2181 Ste 200 Hickory Creek TX 75065-4249
Fax:
Website:
Authorized official contact:
Name: Mafrag, Alyaa K Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1770369092
LBN Legal business name Bloom Dental, Llc
DBA Doing business as Crystal Dentistry
Authorized official Mafrag, Alyaa K Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2023
Last updated Apr 4th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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