Crickett Dewall

NPI #1073233573 in Craig, Colorado

Provider Information

NPI Number: 1073233573
Entity Type: Individual
Name: Crickett Dewall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 2, 2022
Last Updated: Sep 2, 2022

Practice Location

Address: 485 YAMPA AVE
City: Craig
State: Colorado
ZIP Code: 81625-2609
Phone: (970) 824-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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