Organization
LYNETTE S. CROCKER, DDS, PA
Active
Other names
Durham Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE STEVENS CROCKER DDS (OWNER/DENTIST)
(919) 544-6727
Entity
Organization
Contact information
Practice address
6104 FAYETTEVILLE ROAD, SUITE 104, DURHAM, NC 27713-6283
(919) 544-6727
(919) 484-1434
Mailing address
6104 FAYETTEVILLE ROAD, SUITE 104, DURHAM, NC 27713-6283
(919) 544-6727
(919) 484-1434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
09/03/2013
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