| NPI | 1619375409 |
|---|---|
| Doing Business As | CRABTREE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRACY JOHNSTON Office Manager 719-599-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 904800) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |