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Individual

DR. LANCE WAYNE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S, M.S.

Contact information

Practice address
515 GRAND AVE, SUITE 102, AMES, IA 50010-6079
(515) 232-2090
(515) 232-7666
Mailing address
515 GRAND AVE, SUITE 102, AMES, IA 50010-6079
(515) 232-2090
(515) 232-7666

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6103
IA

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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