Provider Demographics
NPI:1285946145
Name:ABRAMCZYK, CRYSTAL ROBYN (DDS)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ROBYN
Last Name:ABRAMCZYK
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 1:1298 BRADFORD DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-3679
Mailing Address - Country:US
Mailing Address - Phone:214-901-4942
Mailing Address - Fax:
Practice Address - Street 1:5402 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3637
Practice Address - Country:US
Practice Address - Phone:972-303-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist