Individual
DR. ALLISON TAR CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1112 E CENTRE AVE, PORTAGE, MI 49002-5575
(269) 327-3005
Mailing address
1112 E CENTRE AVE, PORTAGE, MI 49002-5575
(269) 327-3005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020145
MI
Other
Enumeration date
01/30/2010
Last updated
11/20/2024
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