Individual
ROBERT MARVIN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22629 TWAIN HARTE DR, TWAIN HARTE, CA 95383-9628
(209) 586-2772
Mailing address
22629 TWAIN HARTE DR, TWAIN HARTE, CA 95383-9628
(209) 586-2772
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CA 25500
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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