Individual
MRS. MARY CECILIA CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5607 NW 27TH AVE STE 2, MIAMI, FL 33142-2826
(305) 376-6400
(305) 636-5155
Mailing address
4300 SW 92 AVE, DAVIE, FL 33328
(954) 424-1965
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0011236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113244600
—
FL
Enumeration date
06/20/2006
Last updated
05/19/2022
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