Individual
DR. MICAH CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
505 1/2 CARNATION AVE, CORONA DEL MAR, CA 92625-2046
(406) 459-6140
Mailing address
505 1/2 CARNATION AVE, CORONA DEL MAR, CA 92625-2046
(406) 459-6140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039876
PA
1223P0300X
Periodontics
Primary
DDS107031
CA
Other
Enumeration date
06/24/2014
Last updated
10/26/2021
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