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DR. SUSAN YOUNG CRAWFORD D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1659371185

Individual Registrant:
DR. SUSAN YOUNG CRAWFORD D.D.S.
Gender: F

Location and contact information for practice:
MILE 124.5 TOK CUTOFF  TOK, AK 99780-0475 US
Tel: 907-883-5678  Fax: 907-883-1043

Contact information for business:
PO BOX 475  TOK, AK 99780-0475 US
Tel: 907-883-5678  Fax: 907-883-1043

Registration Information:
NPI: 1659371185
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AK0709

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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