Organization
CRESCO FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K. HAW DMD (PRESIDENT)
56354723212
Entity
Organization
Contact information
Practice address
210 N ELM ST, CRESCO, IA 52136-1522
(563) 547-2312
Mailing address
PO BOX 201, CRESCO, IA 52136-0201
(563) 547-2312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7167
IA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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