Individual
DR. CRATISA LATWANN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
6088
LA
1223G0001X
General Practice Dentistry
Primary
12011470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940801
—
LA
Enumeration date
07/09/2010
Last updated
08/10/2018
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