Organization
WL CRABTREE GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W L CRABTREE DDS (DOCTOR/OWNER)
(870) 236-3125
Entity
Organization
Contact information
Practice address
221 W MAIN ST, PARAGOULD, AR 72450-4327
(870) 236-3125
(870) 236-3125
Mailing address
221 W MAIN ST, PARAGOULD, AR 72450-4327
(870) 236-3125
(870) 236-3125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1760
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102519608
—
AR
Enumeration date
12/09/2008
Last updated
12/09/2008
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