Crescent Dental Group Pllc

NPI #1578024774 in Crescent, Oklahoma

Provider Information

NPI Number: 1578024774
Entity Type: Organization
Organization Name: Crescent Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 29, 2019
Last Updated: Dec 12, 2019

Practice Location

Address: 120 N GRAND
City: Crescent
State: Oklahoma
ZIP Code: 73028
Phone: (405) 969-3969

Authorized Official

Name: JOSHUA BRASHER, DDS
Title: PRESIDENT
Phone: (405) 474-6362

Specialties & Taxonomy Codes

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

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