Thalia-Rae Criddle Pllc
NPI #1063181709 in Camas, Washington
Provider Information
- NPI Number
- 1063181709
- Entity Type
- Organization
- Organization Name
- Thalia-Rae Criddle Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 7, 2021
- Last Updated
- May 2, 2024
Practice Location
- Address
- 1625 SE 192ND AVE STE 205
- City
- Camas
- State
- Washington
- ZIP Code
- 98607-7441
- Phone
- (617) 762-6661
Authorized Official
- Name
- THALIA-RAE CRIDDLE, DMD
- Title
- OWNER
- Phone
- (617) 762-6661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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