Crystal Dewi Rosli Kriswandi in Tigard - General Practice
Crystal Dewi Rosli Kriswandi - NPI 1285788273
Crystal Dewi Rosli Kriswandi is a General Practice in Tigard, Oregon. Crystal Dewi Rosli Kriswandi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Crystal Dewi Rosli Kriswandi is 1285788273. The last update date is 2023-11-29.
Crystal Dewi Rosli Kriswandi's current location address is 7095 Sw Gonzaga St, Tigard, Oregon. You can contact this provider via phone number 8554336825. The mailing address for Crystal Dewi Rosli Kriswandi is 7095 Sw Gonzaga St, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Dewi Rosli Kriswandi |
|---|---|
| Address | 7095 Sw Gonzaga St, Tigard, Oregon |
| Phone Number | 8554336825 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1285788273 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2023-11-29 |
Provider Mailing Address Detail
| Address | 7095 Sw Gonzaga St |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972238309 |
| Phone Number | 8554336825 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7621 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Crystal Dewi Rosli Kriswandi by the Centers for Medicare & Medicaid Services?
The Crystal Dewi Rosli Kriswandi has been issued the NPI (National Provider Identifier) 1285788273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Crystal Dewi Rosli Kriswandi is located?
The Crystal Dewi Rosli Kriswandi is situated at the following address: 7095 Sw Gonzaga St, Tigard, OR, 972238309.
What is the Crystal Dewi Rosli Kriswandi's specialty and taxonomy code?
The Crystal Dewi Rosli Kriswandi's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285788273 to Crystal Dewi Rosli Kriswandi?
The Centers for Medicare & Medicaid Services assigned the 1285788273 to Crystal Dewi Rosli Kriswandi on 2007-01-23.
When was the Crystal Dewi Rosli Kriswandi's information last updated?
The Crystal Dewi Rosli Kriswandi's information was last updated on 2023-11-29.
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