Individual
EDIE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 LEMMON AVE, SUITE 290, DALLAS, TX 75219-3738
(214) 599-0778
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(214) 599-0778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22468
TX
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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