Individual
MS. ELIZABETH-LEE CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7278 S SIWELL RD STE B, JACKSON, MS 39272
(601) 371-7156
Mailing address
1020 BUCKLEY DRIVE, JACKSON, MS 39206
(504) 975-0569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3982-18
MS
Other
Enumeration date
04/19/2017
Last updated
08/23/2018
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