Jodi L Crandall, DHAT Valid NPI
Individual provider · Dental Therapist · Wasilla, AK
- NPI
- 1679270748
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- 23-173-DHAT (AK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
(190) 729-7690