Larry W. Crocker Dmd, Pc

NPI 1215034608 - Dentist - 1223G0001X

NPI Details
NPI 1215034608
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY LARRY
Position OFFICE MANAGER
Phone (618) 466-0733
Fax (618) 466-1433
Practice Location
1317 DADRIAN PROFESSIONAL PARK
GODFREY IL, 62035-1686, US
Phone (618) 466-0733
Fax (618) 466-1433
Business Location
1317 D' ADRIAN PROFESSIONAL PARK
GODFREY IL, 62035, US
Phone (618) 466-0733
Fax (618) 466-1433
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Larry W. Crocker Dmd, Pc NPI is 1215034608, taxonomy code is 1223G0001X Larry W. Crocker Dmd, Pc physically located at 1317 Dadrian Professional Park, Godfrey IL, 62035-1686. NPI Number 1033115704 has the healthcare provider type.

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1215034608 NPI number is provided on an as is basis without warranty of any kind. 1215034608 is maintained by the National Plan & Provider Enumeration System. The contents of Larry W. Crocker Dmd, Pc are for informational purposes only.