Individual
MR. CRISMON JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 W CENTER ST STE 130, ROCHESTER, MN 55902-6278
(507) 529-0436
Mailing address
14500 34TH AVE N APT 208, PLYMOUTH, MN 55447-5215
(405) 326-2827
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H10624
MN
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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