| Victor X Crawford Dds Inc | |
|
5106 Federal Blvd Suite 209 San Diego CA 92105-5455 | |
| (619) 264-0179 | |
| (619) 264-4364 |
| Full Name | Victor X Crawford Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5106 Federal Blvd, San Diego, California |
| Authorized Official Name and Position | Victor Xavier Crawford (PRESIDENT) |
| Authorized Official Contact | 6192640179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor X Crawford Dds Inc 5106 Federal Blvd Suite 209 San Diego CA 92105-5455 Ph: (619) 264-0179 | Victor X Crawford Dds Inc 5106 Federal Blvd Suite 209 San Diego CA 92105-5455 Ph: (619) 264-0179 |
| NPI Number | 1457403974 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457403974 | NPI | - | NPPES |
| B2616101 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26161 (California) | Primary |
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