Individual
DR. CORY LAWRENCE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
94-050 FARRINGTON HWY STE E1-2, WAIPAHU, HI 96797-1842
(808) 677-2451
Mailing address
1182 AUKELE ST, KAILUA, HI 96734-3616
(402) 203-6777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2704
HI
Other
Enumeration date
07/04/2017
Last updated
03/17/2018
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