Individual
DR. MARIKO CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2719 KINGSTON PIKE, KNOXVILLE, TN 37919-4620
(865) 973-9899
Mailing address
402 S GAY ST STE 407, KNOXVILLE, TN 37902-1166
(865) 809-9118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10516
TN
1223G0001X
General Practice Dentistry
Primary
10516
TN
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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