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1114056694
ROGER D CRADDOCK
MEMPHIS, TN
NPI
1114056694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: TN 6912)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. ROGER D CRADDOCK D.D.S.
6268 POPLAR AVE
MEMPHIS, TN 38119-4713
Phone number: 901-761-3770
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Mailing Address
Dr. ROGER D CRADDOCK D.D.S.
6268 POPLAR AVE
MEMPHIS, TN 38119-4713
Phone number: 901-761-3770
Copy
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