Individual
MRS. CRYSTAL MICHELLE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
331 SIJAN AVE, 509TH MEDICAL GROUP/SGD, WHITEMAN AFB, MO 65305-5001
(660) 687-2201
(660) 687-4376
Mailing address
331 SIJAN AVE, 509 MEDICAL GROUP/SGD, WHITEMAN AFB, MO 65305-5001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20398
FL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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