Individual
ROBERT LYONS CRIDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2515 HABERSHAM ST, SAVANNAH, GA 31401-9346
(912) 234-2206
Mailing address
421 E JONES ST, SAVANNAH, GA 31401-4707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122438
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
02/14/2021
Last updated
07/11/2022
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