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1245358159
JUSTIN J CROCKER
ROANOKE, TX
NPI
1245358159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 19786)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. JUSTIN J CROCKER D.S.S.
200 E STATE HIGHWAY 114
ROANOKE, TX 76262
Phone number: 817-567-8040
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Mailing Address
Dr. JUSTIN J CROCKER D.S.S.
200 E. STATE HWY 114
ROANOKE, TX 76262
Phone number: 817-567-8040
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