Individual
JACQUELINE M CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 NEWTON RD, IOWA CITY, IA 52242
(319) 335-7440
(319) 335-7442
Mailing address
1738 LININGER LN STE A, NORTH LIBERTY, IA 52317-2316
(319) 252-1435
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS-09982
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30582
IA
Other
Enumeration date
04/20/2020
Last updated
07/13/2022
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