Deontay Crawford

NPI #1306367388 in Springfield, Illinois

Provider Information

NPI Number
1306367388
Entity Type
Individual
Name
Deontay Crawford
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jun 29, 2017
Last Updated
Jun 29, 2017

Practice Location

Address
2809 MANSION RD STE D
ZIP Code
62711-6811
Phone
(217) 717-4405

Specialties & Taxonomy Codes

Specialty
Dentist

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