G ROLAND CROCKETT

HUNTINGTON, WV
NPI1154498897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WV  2221)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. G ROLAND CROCKETT DDS
320 12TH STREET
HUNTINGTON, WV 25701
Phone number: 304-525-8056
Mailing Address
Dr. G ROLAND CROCKETT DDS
320 12TH STREET
HUNTINGTON, WV 25701
Phone number: 304-525-8056
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