Cedar Creek Dental Pllc

NPI #1063132926 in Highland, Illinois

Provider Information

NPI Number
1063132926
Entity Type
Organization
Organization Name
Cedar Creek Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 31, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
380 SUPPIGER WAY # A
ZIP Code
62249-1103
Phone
(618) 654-4551

Authorized Official

Name
JARED CRUTCHER, DMD
Title
DENTIST
Phone
(618) 654-4551

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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