Individual
DR. DAVID L CROUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8012 112TH STREET CT E, PUYALLUP, WA 98373-7856
(253) 848-9591
(253) 848-3777
Mailing address
8012 112TH STREET CT E, PUYALLUP, WA 98373-7856
(253) 848-9591
(253) 848-3777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00005165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5094206
—
WA
Enumeration date
05/12/2006
Last updated
07/09/2007
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