Individual
MRS. KRYSTAL L ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 379-8100
Mailing address
503 HOWARDVILLE RD, CANTON, NY 13617-3439
(315) 783-2023
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025701-01
NY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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