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Organization
JUSTIN C. CRAIGHEAD DMD, MS, PL
Active
Organization
JUSTIN C. CRAIGHEAD DMD, MS, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CRAIGHEAD (PRESIDENT)
(352) 263-9579
Entity
Organization
Contact information
Practice address
3720 NW 43RD ST STE 102, GAINESVILLE, FL 32606-6190
(352) 263-9579
Mailing address
8847 SW 80TH AVE, GAINESVILLE, FL 32608-8727
(352) 263-9579
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN18965
FL
1223P0700X
Prosthodontics
Primary
DN18965
FL
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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