Individual
CRYSTAL MARIE FOSNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 HOSPITAL DR, OSCEOLA, MO 64776-9547
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2022017997
MO
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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