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Organization
MICHAEL S. CROCKETT, DDS, PC
Active
Organization
MICHAEL S. CROCKETT, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. CROCKETT D.D.S. (PRESIDENT)
(480) 981-0203
Entity
Organization
Contact information
Practice address
31 S 63RD ST, SUITE 5, MESA, AZ 85206-1606
(480) 981-0203
(480) 924-5211
Mailing address
31 S 63RD ST, SUITE 5, MESA, AZ 85206-1606
(480) 981-0203
(480) 924-5211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6584
AZ
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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