Zachariah Lea Crawford DMD

NPI 1194166017 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1194166017
Gender Male
Enumeration Date 07/08/2013
Last Updated 04/01/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
47 E LAKE RD
HATTIESBURG MS, 39402-7706, US
Phone (601) 466-9652
Fax
Business Location
47 EAST LAKE RD
JACKSON MS, 39206, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Zachariah Lea Crawford DMD NPI is 1194166017, taxonomy code is 390200000X Zachariah Lea Crawford DMD physically located at 47 E Lake Rd, Hattiesburg MS, 39402-7706. NPI Number Zachariah Lea Crawford DMD has the Individual type.

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1194166017 NPI number is provided on an as is basis without warranty of any kind. 1194166017 is maintained by the National Plan & Provider Enumeration System. The contents of Zachariah Lea Crawford DMD are for informational purposes only.