Organization
CEDAR CREEK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED CRUTCHER DMD (DENTIST)
(618) 654-4551
Entity
Organization
Contact information
Practice address
380 SUPPIGER WAY # A, HIGHLAND, IL 62249-1103
(618) 654-4551
Mailing address
380 SUPPIGER WAY # A, HIGHLAND, IL 62249-1103
(618) 654-4551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
09/20/2022
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