Individual
CREIGH CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
83 HIGH ST STE A, WALDORF, MD 20602-2191
(301) 645-3601
Mailing address
83 HIGH ST STE A, WALDORF, MD 20602-2191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18432
MD
122300000X
Dentist
DEN.00205436
CO
1223G0001X
General Practice Dentistry
13894
MN
Other
Enumeration date
07/20/2017
Last updated
11/26/2024
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