Individual
DR. RAYMOND JAY CRONK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 S 10TH, GENEVA, NE 68361
(402) 759-3097
Mailing address
115 S 10TH, GENEVA, NE 68361
(402) 759-3097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3779
NE
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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