Individual
DR. ROGER D CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775
Mailing address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6912
TN
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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