Individual
DR. CRAIG RENOLD CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10535 N PORT WASHINGTON RD, MEQUON, WI 53092-5583
(262) 240-0048
(262) 240-0132
Mailing address
10535 N PORT WASHINGTON RD, MEQUON, WI 53092-5583
(262) 240-0048
(262) 240-0132
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2691
WI
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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