Organization
DR ROSLYN M. CRISP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY L CORBETT (FINANCIAL)
(336) 228-8392
Entity
Organization
Contact information
Practice address
1203 VAUGHN RD, BURLINGTON, NC 27217-2846
(336) 228-8392
(336) 227-0635
Mailing address
1203 VAUGHN RD, BURLINGTON, NC 27217-2846
(336) 228-8392
(336) 227-0635
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14816
DORAL DENTAL
WI
05
—
14816
—
VA
05
—
8991896
—
NC
Enumeration date
04/01/2008
Last updated
04/01/2008
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