Individual
DR. MICHAEL DANIEL CRAWFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1185 MAIN ST, SUITE #3, WILLIMANTIC, CT 06226-2093
(860) 423-1357
(860) 423-3343
Mailing address
1185 MAIN ST, SUITE #3, WILLIMANTIC, CT 06226-2093
(860) 423-1357
(860) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010240
CT
Other
Enumeration date
05/12/2008
Last updated
06/10/2015
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