Individual
DR. ST.ELMO WALLACE CRAWFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1922 BENNING RD NE, WASHINGTON, DC 20002-4788
(202) 399-2244
(202) 388-1115
Mailing address
1922 BENNING RD NE, WASHINGTON, DC 20002-4788
(202) 399-2244
(202) 399-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN3272
DC
1223P0221X
Pediatric Dentistry
DEN3272
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN3272
DC
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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