Heather Diane Crawford

NPI #1366296139 in Moscow, Idaho

Provider Information

NPI Number: 1366296139
Entity Type: Individual
Name: Heather Diane Crawford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 803 S MAIN ST STE 120
City: Moscow
State: Idaho
ZIP Code: 83843-2695
Phone: (509) 444-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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