Individual
TERESA K CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
26 MAIN STREET, LIMERICK, ME 04048
(207) 793-8881
Mailing address
26 MAIN ST, LIMERICK, ME 04048-3534
(207) 793-8881
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
LAN322
ME
124Q00000X
Dental Hygienist
Primary
RDH 3114
ME
Other
Enumeration date
07/06/2011
Last updated
12/15/2016
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