Most Relevant Information
Provider Data
| NPI Number: | 1003486754 |
| Provider Name: | CRYSTAL RAJAN |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 7431 |
Most Important Dates
| Enumeration Date: | 06/25/2021 |
| Last Updated: | 06/25/2021 |
Provider Practice Location
921 NE 13TH ST
OKLAHOMA CITY
OK
731045007
Practice Location Phone/Fax
| Phone: | 4054561000 |
| Fax: |
Provider Mailing Location
301 N WALKER AVE APT 4201
OKLAHOMA CITY
OK
731021850
Provider Mailing Phone/Fax
| Phone: | 4698770790 |
| Fax: |