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Organization

TIM F. CRISP DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM FELIX CRISP DMD (OWNER)
(859) 744-7031
Entity
Organization

Contact information

Practice address
11 CANARY LN, WINCHESTER, KY 40391-1645
(859) 744-7031
(859) 744-9175
Mailing address
11 CANARY LN, WINCHESTER, KY 40391-1645
(859) 744-7031
(859) 744-9175

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6359
KY

Other

Enumeration date
02/17/2009
Last updated
01/13/2015
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