Individual
MICHELLE LYNN CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 OLIVE BLVD STE 600, SAINT LOUIS, MO 63141-6346
(800) 325-3982
Mailing address
12647 OLIVE BLVD STE 600, SAINT LOUIS, MO 63141-6346
(800) 325-3982
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20807
TX
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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