Organization
THALIA-RAE CRIDDLE PLLC
Active
Other names
Criddle Concierge
Organization subpart
No
Provider details
NPI number
Authorized official
THALIA-RAE CRIDDLE DMD (OWNER)
(617) 762-6661
Entity
Organization
Contact information
Practice address
1625 SE 192ND AVE STE 205, CAMAS, WA 98607-7441
(617) 762-6661
Mailing address
5781 SW CLAY CT, PORTLAND, OR 97221-1438
(617) 762-6661
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
05/02/2024
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