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Individual

DR. JACOB DAVID CRAGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
5858 W. MAIN ST., SUITE 290, FRISCO, TX 75034
(310) 902-7822
Mailing address
5858 W. MAIN ST., SUITE 290, FRISCO, TX 75034
(310) 902-7822

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25238
TX
1223E0200X
Endodontics
679
FL

Other

Enumeration date
07/17/2008
Last updated
09/07/2012
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