Organization
LARRY B. CRAWFORD, D.D.S., M.S.D., INC.
Active
Other names
California Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY B. CRAWFORD D.D.S., M.S.D. (PRESIDENT)
(951) 789-1888
Entity
Organization
Contact information
Practice address
301 E ALESSANDRO BLVD STE 3B, RIVERSIDE, CA 92508-2464
(951) 789-1888
(951) 789-8878
Mailing address
301 E ALESSANDRO BLVD STE 3B, RIVERSIDE, CA 92508-2464
(951) 789-1888
(951) 789-8878
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32639
CA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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