| Kyle Crandall Dmd Pllc | |
|
985 S Mulberry Dr Toquerville UT 84774-5011 | |
| (435) 218-3985 | |
| Not Available |
| Full Name | Kyle Crandall Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 985 S Mulberry Dr, Toquerville, Utah |
| Authorized Official Name and Position | Kyle Lawrence Crandall (OWNER) |
| Authorized Official Contact | 4352183985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Crandall Dmd Pllc 985 S Mulberry Dr Toquerville UT 84774-5011 Ph: (435) 218-3985 | Kyle Crandall Dmd Pllc 985 S Mulberry Dr Toquerville UT 84774-5011 Ph: (435) 218-3985 |
| NPI Number | 1437802576 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437802576 | NPI | - | NPPES |
| 1689168577 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |