Individual
DR. MICHAEL G CROOKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 S BINKLEY ST STE A, SOLDOTNA, AK 99669-8038
(907) 262-8834
(907) 262-8831
Mailing address
4168 N 3750 E, LIBERTY, UT 84310-6816
(801) 389-4597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5323678
UT
Other
Enumeration date
10/11/2006
Last updated
04/29/2022
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