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Organization
CHARLES H. CRAWFORD, JR DMD
Active
Organization
CHARLES H. CRAWFORD, JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HARMON CRAWFORD JR. DMD (PRESIDENT)
(803) 324-7540
Entity
Organization
Contact information
Practice address
1236 EBENEZER RD, SUITE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128
Mailing address
1236 EBENEZER RD, SUITE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA-9869
—
SC
Enumeration date
07/12/2005
Last updated
07/21/2022
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