Organization
TRINITY ENDODONTICS OF GREATER WINTER HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRYL M. CRAWFORD DMD, MSD (DENTIST)
(863) 875-4823
Entity
Organization
Contact information
Practice address
317 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880
(863) 875-4823
(863) 875-5564
Mailing address
317 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880-4452
(863) 875-4823
(863) 875-5564
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DN16500
FL
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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