Individual
DR. KERRY FRANCIS CROCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
122 N PHILADELPHIA BLVD, ROUTE 40, ABERDEEN, MD 21001-2513
(410) 272-2636
(410) 272-8587
Mailing address
19 N KELLY AVE, BEL AIR, MD 21014-3617
(610) 457-8942
(410) 272-8587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12762
MD
1223G0001X
General Practice Dentistry
Primary
12762
MD
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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