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Organization

KYLE CRANDALL DMD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE LAWRENCE CRANDALL DMD (OWNER)
(435) 218-3985
Entity
Organization

Contact information

Practice address
985 S MULBERRY DR, TOQUERVILLE, UT 84774-5011
(435) 218-3985
Mailing address
985 S MULBERRY DR, TOQUERVILLE, UT 84774-5011
(435) 218-3985

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689168577
TX
Enumeration date
01/29/2022
Last updated
01/29/2022
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