Individual
CRYSTAL COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 WARRENTON RD, FREDERICKSBURG, VA 22406-1073
(540) 681-2580
Mailing address
825 WARRENTON RD, FREDERICKSBURG, VA 22406-1073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418385
VA
1223G0001X
General Practice Dentistry
13046
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2022
Last updated
06/16/2023
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