Individual
MS. CRYSTAL MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4700
(970) 945-2840
Mailing address
195 W 14TH, RIFLE, CO 81650-4700
(970) 945-2840
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000906000
CO
124Q00000X
Dental Hygienist
6708619-9920
UT
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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