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Organization
CRAWFORD DENTAL
Active
Organization
CRAWFORD DENTAL
Active
Other names
Fort Scott Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY P. CRAWFORD D.M.D (DENTIST/OWNER)
(620) 223-4448
Entity
Organization
Contact information
Practice address
1115 S MAIN ST, FORT SCOTT, KS 66701-2651
(620) 223-4448
(620) 223-9957
Mailing address
1115 S MAIN ST, FORT SCOTT, KS 66701-2651
(620) 223-4448
(620) 223-9957
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60757
KS
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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