DR. Justin J Crocker, D.S.S.

NPI #1245358159 in Roanoke, Texas

Provider Information

NPI Number
1245358159
Entity Type
Individual
Name
DR. Justin J Crocker, D.S.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.S.S.
Enumeration Date
Mar 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
200 E STATE HIGHWAY 114
State
Texas
ZIP Code
76262
Phone
(817) 567-8040

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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