MRS. Tracy L. Crocker, RDH

NPI #1629203518 in Winthrop, Maine

Provider Information

NPI Number: 1629203518
Entity Type: Individual
Name: MRS. Tracy L. Crocker, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 676 OLD LEWISTON ROAD
City: Winthrop
State: Maine
ZIP Code: 04364-4119
Phone: (207) 377-7003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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