NPI | 1962901652 |
---|---|
Doing Business As | CRENSHAW & SLAUSON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | WILLIAM EUGENE FAULKNER Dentist 323-292-0231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35052) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2018-05-08 |