MICHELLE C. CROCKER, DMD, PC

PORTLAND, OR
NPI1235456153
Entity TypeOrganization
Authorized ContactMICHELLE C CROCKER
President
503-515-6092
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D8443)
Enumeration Date2010-05-02
Last Update Date2010-05-02
Business Address
MICHELLE C. CROCKER, DMD, PC
11786 SW BARNES RD STE 320
PORTLAND, OR 97225-5930
Phone number: 503-641-3550
Mailing Address
MICHELLE C. CROCKER, DMD, PC
13195 SW SHORE DR
TIGARD, OR 97223-1683
Phone number: 503-641-3550
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