Organization
CREWS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER A CREWS DMD (OWNER)
(314) 704-2769
Entity
Organization
Contact information
Practice address
20 W LOCKWOOD AVE, SAINT LOUIS, MO 63119-2932
(314) 961-3244
Mailing address
20 W LOCKWOOD AVE, SAINT LOUIS, MO 63119-2932
(314) 961-3244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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