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Organization
VICTOR X CRAWFORD DDS INC
Active
Organization
VICTOR X CRAWFORD DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR XAVIER CRAWFORD DDS (PRESIDENT)
(619) 264-0179
Entity
Organization
Contact information
Practice address
5106 FEDERAL BLVD, SUITE 209, SAN DIEGO, CA 92105-5455
(619) 264-0179
(619) 264-4364
Mailing address
5106 FEDERAL BLVD, SUITE 209, SAN DIEGO, CA 92105-5455
(619) 264-0179
(619) 264-4364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2616101
—
CA
Enumeration date
01/17/2007
Last updated
09/11/2012
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