Individual
DR. MARY LOUISE TRUCHON CRACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113
(612) 822-9030
(612) 821-2818
Mailing address
303 MAIN ST NW, ELK RIVER, MN 55330
(763) 441-9181
(763) 269-8692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12694
MN
Other
Enumeration date
06/22/2009
Last updated
04/23/2024
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