Individual
DR. CRAIG LEWIS OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
413 W ROBERTSON ST, BRANDON, FL 33511-5014
(813) 685-0809
Mailing address
413 W ROBERTSON ST, BRANDON, FL 33511-5014
(813) 685-0809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013141
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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