DR. Mary Louise Truchon Crackel, D.D.S.

NPI #1083841621 in Minneapolis, Minnesota

Provider Information

NPI Number: 1083841621
Entity Type: Individual
Name: DR. Mary Louise Truchon Crackel, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 22, 2009
Last Updated: Apr 23, 2024

Practice Location

Address: 4243 4TH AVE S
City: Minneapolis
State: Minnesota
ZIP Code: 55409-2113
Phone: (612) 822-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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