Individual
AUDREY LEA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2209 S MAIN, GROVE, OK 74344
(918) 786-5533
(918) 797-8800
Mailing address
2209 S MAIN, GROVE, OK 74344
(918) 786-5533
(918) 787-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5071
OK
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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