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Individual

DR. KEIGM L CROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6800 MONTGOMERY BLVD NE, SUITE L, ALBUQUERQUE, NM 87109-1405
(505) 883-2777
(505) 884-1912
Mailing address
6800 MONTGOMERY BLVD NE, SUITE L, ALBUQUERQUE, NM 87109-1405
(505) 883-2777
(505) 884-1912

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DD1478
NM

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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