Dr. Michael Thomas Crum, D.D.S.
Dentist, General Practice in Ripon, CA. Individual provider (NPI-1).
NPI number1982604153
StatusActive
Last updated in NPPESMar 30, 2010
Details
- NPI
- 1982604153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Thomas Crum
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2005
- Last updated
- Mar 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 29032 | CA | Yes |
Practice location
200 Vera AveRipon, CA 95366-2345
Phone 209-599-4239 · Fax 209-599-7899
Mailing address
200 Vera AveRipon, CA 95366-2345
Phone 209-599-4239 · Fax 209-599-7899
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