Individual
DR. W DALE CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2204 E 29TH AVE, STE 104, SPOKANE, WA 99203-3961
(509) 928-8800
(509) 321-0154
Mailing address
2204 E 29TH AVE, STE 104, SPOKANE, WA 99203-3961
(509) 928-8800
(509) 321-0154
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5026117
—
WA
Enumeration date
06/13/2005
Last updated
04/15/2010
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