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Organization

CREIGH CRANDALL DDS WALDORF PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CREIGH CRANDALL DDS (OWNER/PRESIDENT)
(773) 354-0342
Entity
Organization

Contact information

Practice address
83 HIGH ST STE A, WALDORF, MD 20602-2191
(301) 645-3601
Mailing address
83 HIGH ST STE A, WALDORF, MD 20602-2191
(301) 645-3601

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/26/2024
Last updated
11/26/2024
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