Diane J Creedon Valid NPI
Individual provider · Dental Hygienist · Fort Detrick, MD
- NPI
- 1225488984
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- DH15181 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-06-14
- Last updated
- 2022-06-07
Practice location
1434 Porter Street
Fort Detrick, MD 21702
(301) 619-7675