Richard W Crawford DMD

NPI 1174629794 - Dentist - 1223S0112X

NPI Details
NPI 1174629794
Gender Male
Enumeration Date 09/15/2006
Last Updated 06/12/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
440 WESTERN AVE
SOUTH PORTLAND ME, 04106, US
Phone (207) 774-2611
Fax (207) 774-2613
Business Location
440 WESTERN AVE
SOUTH PORTLAND ME, 04106, US
Phone (207) 774-2611
Fax (207) 774-2613
Toxanomy
Taxonomy Code 1223S0112X
License State Maine
License Number 3428
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According to our database, Richard W Crawford DMD NPI is 1174629794, taxonomy code is 1223S0112X and license number is 3428, license state is located at Maine. Richard W Crawford DMD physically located at 440 Western Ave, South Portland ME, 04106. NPI Number Richard W Crawford DMD has the Individual type.

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1174629794 NPI number is provided on an as is basis without warranty of any kind. 1174629794 is maintained by the National Plan & Provider Enumeration System. The contents of Richard W Crawford DMD are for informational purposes only.