Individual
MISS CHAUNCEY LAUREN CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 MAGNOLIA DR, RALEIGH, MS 39153-6016
(990) 960-1782
Mailing address
502 ETERNAL CT, BRANDON, MS 39042-4429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4014-18
MS
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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