Organization
PEDIATRIC DENTAL PARTNERS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A CRAWFORD DDS (PEDIATRIC DENTIST)
(318) 865-2250
Entity
Organization
Contact information
Practice address
318 CARROLL ST., SHREVEPORT, LA 71105-4132
(318) 865-2250
(318) 865-3751
Mailing address
318 CARROLL ST, SHREVEPORT, LA 71105-4132
(318) 865-2250
(318) 865-3751
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3133
LA
Other
Enumeration date
04/01/2009
Last updated
07/07/2009
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