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Individual
ANDREW CROWELL
Active
Individual
ANDREW CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417811
VA
1223P0221X
Pediatric Dentistry
Primary
6001155
WI
390200000X
Student in an Organized Health Care Education/Training Program
0442000385
VA
Other
Enumeration date
05/07/2020
Last updated
08/15/2023
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