Individual
MISS EBONY CHERIE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
135 BANK ST, WATERBURY, CT 06702-2205
(203) 755-7979
Mailing address
16 MARLIN DR, NORWALK, CT 06854-1112
(203) 515-6558
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007236
CT
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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