Individual
DR. ANDREW CLARK CROMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 OAK ST, ANACONDA, MT 59711-2338
(406) 563-3025
Mailing address
315 OAK ST, ANACONDA, MT 59711-2338
(406) 563-3025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MT2119
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113204
—
MT
Enumeration date
07/25/2006
Last updated
01/13/2011
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