KEITH ALLEN CROUCH

STATESVILLE, NC
NPI1164508743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  5075)
Enumeration Date2006-10-27
Last Update Date2011-02-14
Business Address
Mr. KEITH ALLEN CROUCH DDS
511 BROOKDALE DRIVE
STATESVILLE, NC 28677-4107
Phone number: 704-873-9641
Mailing Address
Mr. KEITH ALLEN CROUCH DDS
511 BROOKDALE DRIVE
STATESVILLE, NC 28677-4107
Phone number: 704-873-9641
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