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1255414884
CHARLES BRANT CRISP
FORT SMITH, AR
NPI
1255414884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 2929)
Enumeration Date
2006-10-24
Last Update Date
2013-06-25
Business Address
Dr. CHARLES BRANT CRISP DDS
2501 MARKET TRCE STE A
FORT SMITH, AR 72908-8677
Phone number: 479-434-6966
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Mailing Address
Dr. CHARLES BRANT CRISP DDS
2501 MARKET TRCE STE A
FORT SMITH, AR 72908-8677
Phone number: 479-434-6966
Copy
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