Individual
DR. CASEY CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5045 W BASELINE RD STE 135, LAVEEN, AZ 85339-7394
(602) 237-0613
Mailing address
5045 W BASELINE RD STE 135, LAVEEN, AZ 85339-7394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009217
AZ
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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