Organization
J RANDALL CRAWFORD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDALL CRAWFORD DDS (OWNER DENTIST)
(330) 821-7411
Entity
Organization
Contact information
Practice address
2460 S UNION AVE, ALLIANCE, OH 44601
(330) 821-7411
Mailing address
2460 S UNION AVE, ALLIANCE, OH 44601-5057
(330) 821-7411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30-016236
OH
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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