Provider Demographics
NPI:1467995456
Name:CRS DENTAL MARKETING, LLC
Entity Type:Organization
Organization Name:CRS DENTAL MARKETING, LLC
Other - Org Name:CLEAR DENTAL & ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:MAZEN
Authorized Official - Last Name:BABA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-616-7893
Mailing Address - Street 1:9774 KATY FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6241
Mailing Address - Country:US
Mailing Address - Phone:281-616-7893
Mailing Address - Fax:
Practice Address - Street 1:9774 KATY FWY STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6241
Practice Address - Country:US
Practice Address - Phone:281-616-7893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty