Individual
DR. LILY BARBOSA CROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
358 FRONT AVE NW, CASTLE ROCK, WA 98611-8996
(360) 274-9100
Mailing address
140 GRAND RIDGE RD, TOUTLE, WA 98649-4200
(360) 274-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
178617
AK
261QD0000X
Dental Clinic/Center
Primary
DENT.DE.61580977
WA
Other
Enumeration date
07/02/2021
Last updated
04/14/2026
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