Diane J Creedon

NPI #1225488984 in Fort Detrick, Maryland

Provider Information

NPI Number: 1225488984
Entity Type: Individual
Name: Diane J Creedon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 14, 2016
Last Updated: Jun 7, 2022

Practice Location

Address: 1434 PORTER STREET
City: Fort Detrick
State: Maryland
ZIP Code: 21702
Phone: (301) 619-7675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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