DEONTAY CRAWFORD

Dentist

Active Individual
NPI: 1306367388

Practice Address

2809 MANSION RD STE D
Springfield, IL 62711

Phone: (217) 717-4405

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019.031207 (IL)

Frequently Asked Questions

NPI 1306367388 is the National Provider Identifier for DEONTAY CRAWFORD, a Dentist provider located in Springfield, IL. This NPI was enumerated on June 29, 2017.
DEONTAY CRAWFORD practices at 2809 MANSION RD STE D, Springfield, IL 62711.

Quick Facts

NPI
1306367388
Type
Individual
Enumerated
Jun 29, 2017
Last Updated
Jun 29, 2017

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