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Individual

TONY MARTIN CRANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
208 SOUTH MAIN ST, DENTON, NC 27239-1106
(336) 859-4664
(336) 859-4664
Mailing address
PO BOX 1106, DENTON, NC 27239-1106
(336) 859-4664
(336) 859-4664

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8909193
NC
Enumeration date
09/01/2006
Last updated
07/08/2007
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