MR. Keith Allen Crouch, DDS

NPI #1164508743 in Statesville, North Carolina

Provider Information

NPI Number: 1164508743
Entity Type: Individual
Name: MR. Keith Allen Crouch, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 27, 2006
Last Updated: Feb 14, 2011

Practice Location

Address: 511 BROOKDALE DRIVE
City: Statesville
State: North Carolina
ZIP Code: 28677-4107
Phone: (704) 873-9641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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