Individual
DR. CRYSTAL RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
301 N WALKER AVE APT 4201, OKLAHOMA CITY, OK 73102-1850
(469) 877-0790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7431
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1778950
—
OK
Enumeration date
06/25/2021
Last updated
06/25/2021
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