Individual
DR. KELTON CRONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1200 W CHERRY LN, MERIDIAN, ID 83642-4930
(208) 898-0000
Mailing address
840 N TULLSHIRE WAY, EAGLE, ID 83616-3305
(435) 760-0323
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-5605
ID
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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