Organization
MICHAEL G. CROOKSTON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G CROOKSTON DDS (OWNER/PRESIDENT)
(801) 389-4597
Entity
Organization
Contact information
Practice address
104 S BINKLEY ST STE A, SOLDOTNA, AK 99669-8038
(907) 262-8834
Mailing address
4168 N 3750 E, LIBERTY, UT 84310-6816
(801) 389-4597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
AK
Other
Enumeration date
09/07/2017
Last updated
04/29/2022
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