Organization
ROSLYN M. CRISP DD, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE MOORE (BUSINESS OFFICE MANAGER)
(336) 524-5439
Entity
Organization
Contact information
Practice address
1203 VAUGHN RD, BURLINGTON, NC 27217-2846
(336) 228-8392
(336) 227-0635
Mailing address
1203 VAUGHN RD, BURLINGTON, NC 27217-2846
(336) 228-8392
(336) 227-0635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
200001988472
NC
Other
Enumeration date
05/02/2011
Last updated
06/08/2023
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