Organization · Type 2 NPI

Lily B and Samuel D Crocco DMD PLLC

Dental Clinic/Center · Castle Rock, WA

NPI number 1053143073 Active

Practice location

358 Front Ave NW
Castle Rock, WA 98611-8996

Mailing address

25642 Berryhill Rd
Eagle River, AK 99577-9603

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1053143073

Lily B and Samuel D Crocco DMD PLLC's National Provider Identifier is 1053143073, issued on Aug 19, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Castle Rock, WA. The record was last updated on Aug 19, 2024.