Individual
DR. TARAH ANN CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 441-7440
Mailing address
9339 BARENFENGER RD, WORDEN, IL 62097-1511
(618) 971-8272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016022787
MO
Other
Enumeration date
07/05/2016
Last updated
09/17/2019
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