| NPI | 1073755435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A CRAWFORD Pediatric Dentist 318-865-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 3133) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-07-07 |