Organization
LILY B AND SAMUEL D CROCCO DMD PLLC
Active
Other names
Cowlitz River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LILY CROCCO DMD (OWNER DENTIST)
(760) 750-0087
Entity
Organization
Contact information
Practice address
358 FRONT AVE NW, CASTLE ROCK, WA 98611-8996
(760) 750-0087
Mailing address
25642 BERRYHILL RD, EAGLE RIVER, AK 99577-9603
(760) 750-0087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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