Organization
ROBERT R CROFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R CROFT DDS (PRESIDENT)
(209) 524-5515
Entity
Organization
Contact information
Practice address
1236 FLOYD AVE, SUITE C, MODESTO, CA 95350-2471
(209) 524-5515
(209) 524-5386
Mailing address
1236 FLOYD AVE, SUITE C, MODESTO, CA 95350-2471
(209) 524-5515
(209) 524-5683
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B20093
DENTICAL
CA
Enumeration date
07/26/2007
Last updated
07/26/2007
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