Organization
CORY L CROUSE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY L CROUSE DMD (OWNER)
(402) 203-6777
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 603, AIEA, HI 96701-3939
(808) 487-3033
Mailing address
1182 AUKELE ST, KAILUA, HI 96734-3616
(402) 203-6777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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