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Individual

JEFFREY CROARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 742-6084
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 742-6084

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30129
TX

Other

Enumeration date
08/25/2014
Last updated
08/25/2014
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