Organization
CRAWFORD ORTHODONTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SCOTT CRAWFORD DMDDMV (OWNER)
(770) 417-3505
Entity
Organization
Contact information
Practice address
306 WEST STREET, CUMMING, GA 30040
(770) 417-3505
Mailing address
3850 HOLCOMB BRIDGE RD, SUITE 230, NORCROSS, GA 30092-5223
(770) 417-3505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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