Individual
JENNIFER DURHAM CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3154 S CHURCH ST, BURLINGTON, NC 27215-9114
(336) 524-5439
Mailing address
3154 S CHURCH ST, BURLINGTON, NC 27215-9114
(336) 524-5439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10095
NC
Other
Enumeration date
04/23/2015
Last updated
06/22/2020
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