Individual
SANDRA CRUM-STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
98 RIVER STREET SUITE A, CLAY CITY, KY 40312
(606) 663-5473
(606) 663-0106
Mailing address
98 RIVER STREET SUITE A, P.O. BOX 607, CLAY CITY, KY 40312
(606) 663-5473
(606) 663-0106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY6977
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60069770
—
KY
Enumeration date
02/06/2007
Last updated
07/09/2007
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