Individual
CRICKETT DEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 YAMPA AVE, CRAIG, CO 81625-2609
(970) 824-8000
Mailing address
485 YAMPA AVE, CRAIG, CO 81625-2609
(970) 824-8000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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