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NPI Code Detail

MEDICARE: MRS. CINDY LEE CROY RDH

MEDICARE: MRS. CINDY LEE CROY RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist1444AZ

General Provider Information

NPI Number : 1104925593
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CINDY LEE CROY RDH
Provider Business Mailing Address
First Line : 1040 W BRIDLE PATH LN
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3016
Country : US
Telephone Number : 928-474-0136
Fax Number :
Provider Business Practice Location Address
First Line : 300 W AIRPORT RD
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3607
Country : US
Telephone Number : 928-474-3016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CINDY LEE CROY RDH” Practice Location

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