Individual
MICHAEL JOHN MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3066
(985) 674-4441
(985) 674-4442
Mailing address
1302 RUE BEAUVAIS, MANDEVILLE, LA 70471-1235
(985) 624-8559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4365
LA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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