Individual
TODD CREW CARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
322 SE 192ND AVE STE 100, VANCOUVER, WA 98683-9679
(360) 604-5873
(360) 604-5867
Mailing address
322 SE 192ND AVE STE 100, VANCOUVER, WA 98683-9679
(360) 604-5873
(360) 604-5867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60249401
WA
Other
Enumeration date
06/30/2009
Last updated
11/17/2011
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