Provider Demographics
NPI:1891093779
Name:CRESPO, NATASHA EILEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:EILEEN
Last Name:CRESPO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2758 N GALLOWAY AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6381
Mailing Address - Country:US
Mailing Address - Phone:722-895-5639
Mailing Address - Fax:972-329-5039
Practice Address - Street 1:3626 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 235
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3643
Practice Address - Country:US
Practice Address - Phone:972-594-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25389122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist