Organization
TRINITY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRYL M CRAWFORD D.M.D.,M.S.D. (ENDODONTIST)
(863) 413-9773
Entity
Organization
Contact information
Practice address
1602 S. FLORIDA AVE, STE #1, LAKELAND, FL 33803
(863) 413-9773
(863) 688-2960
Mailing address
1602 S. FLORIDA AVE, STE #1, LAKELAND, FL 33803
(863) 413-9773
(863) 688-2960
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DN16500
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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