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Individual
ROBERT CRAWFORD DENNISON
Active
Individual
ROBERT CRAWFORD DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381908328
DENTEMAX
—
01
—
381908328020
DENTAL BLUE
—
05
—
4234625
—
MI
01
—
88096MI
WADSWORTH
—
01
—
88123MI
BAYSIDE
—
01
—
88170MI
OUTER DRIVE
—
01
—
88171MI
COMMERCE
—
01
—
D801095
BLUE CROSS
—
01
—
OO434368
UNITED CONCORDIA
—
Enumeration date
10/11/2005
Last updated
09/05/2012
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