Individual
DR. JOHN PATRICK CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2210 WRIGHTSVILLE AVENUE, SUITE 5, WILMINGTON, NC 28403
(910) 736-0355
(910) 763-0358
Mailing address
629 WOODLAND FOREST CT, WILMINGTON, NC 28403
(910) 452-7242
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4624
NC
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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