Suprena L Crawford, RDH
Dental Hygienist in Eagle, CO. Individual provider (NPI-1).
NPI number1649680232
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1649680232
- Entity type
- Individual (NPI-1)
- Name
- Suprena L Crawford
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2014
- Certification date
- Jul 22, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 904264 | CO | Yes |
Practice location
112 W 6th StEagle, CO 81631
Phone 970-819-0370
Mailing address
Po Box 1962Eagle, CO 81631-1962
Phone 970-819-0370
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