Organization
CROSSWAIT DENTAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE CROSSWAIT D.D.S. (PRESIDENT)
(605) 642-7760
Entity
Organization
Contact information
Practice address
1310 NORTH AVE, SPEARFISH, SD 57783-1525
(605) 642-7760
Mailing address
1310 NORTH AVE, SPEARFISH, SD 57783-1525
(605) 642-7760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-622
SD
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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