Organization
A BEAUTIFUL SMILE MEANS A BETTER LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R CROCKETT DDS (OWNER)
(562) 920-8324
Entity
Organization
Contact information
Practice address
10106 ALONDRA BL STE B, BELLFLOWER, CA 90706-3904
(562) 920-8324
(562) 804-8660
Mailing address
10106 ALONDRA BL STE B, BELLFLOWER, CA 90706-3904
(562) 920-8324
(562) 804-8660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20092
CA
1223G0001X
General Practice Dentistry
50687
CA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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