Organization
DAVID G CRABTREE DDS PLLC
Active
Other names
Crabtree Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JOHNSTON (OFFICE MANAGER)
(719) 599-7453
Entity
Organization
Contact information
Practice address
5010 EL CAMINO DR, COLORADO SPRINGS, CO 80918-2130
(719) 599-7453
(719) 599-8631
Mailing address
5010 EL CAMINO DR, COLORADO SPRINGS, CO 80918-2130
(719) 599-7453
(719) 599-8631
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12052779
—
CO
Enumeration date
12/11/2014
Last updated
12/11/2014
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