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Individual

DR. JACQUELINE JEAN CRESSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
220 W GARFIELD AVE, CHARLEVOIX, MI 49720-1631
(231) 547-6523
(231) 547-6238
Mailing address
PO BOX 305, WEST BRANCH, MI 48661-0305
(989) 345-4464

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11790
MI
122300000X
Dentist
16459
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4625717
MI
Enumeration date
01/22/2007
Last updated
07/08/2007
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