Individual
DR. ALLIN BLAND CROUCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2211 NE 36TH ST, SUITE 201, LIGHTHOUSE POINT, FL 33064-7577
(954) 943-2466
(954) 941-0551
Mailing address
2211 NE 36TH ST, SUITE 201, LIGHTHOUSE POINT, FL 33064-7577
(954) 943-2466
(954) 941-0551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4077
FL
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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