Provider Demographics
NPI:1629393376
Name:STRAKH, CRYSTAL DANIELLE TEAGUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:DANIELLE TEAGUE
Last Name:STRAKH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3400 LOMBARDY LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3310
Mailing Address - Country:US
Mailing Address - Phone:214-350-5333
Mailing Address - Fax:214-350-8555
Practice Address - Street 1:3400 LOMBARDY LN
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3310
Practice Address - Country:US
Practice Address - Phone:214-350-5333
Practice Address - Fax:214-350-8555
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX246941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice