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Individual

DANIEL CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 E HIGHWAY 114, SUITE 170, TROPHY CLUB, TX 76262-6684
(817) 490-9885
(817) 491-2313
Mailing address
2001 E HIGHWAY 114, SUITE 170, TROPHY CLUB, TX 76262-6684
(817) 490-9885
(817) 491-2313

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18171
TX

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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