Individual
DR. MAX CRIGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11092 ANDERSON STREET, LOMA LINDA, CA 92354
(909) 558-4613
Mailing address
11092 ANDERSON STREET, LOMA LINDA, CA 92354
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19858
STATE LICENSE NUMBER
CA
Enumeration date
05/15/2007
Last updated
07/08/2007
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