RUSSELL JOHN CROCKETT

SCOTTSDALE, AZ
NPI1720503758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: AZ  d009803)
Enumeration Date2017-08-10
Last Update Date2018-02-10
Business Address
RUSSELL JOHN CROCKETT DMD
5533 E BELL RD STE 120
SCOTTSDALE, AZ 85254-1256
Phone number: 520-560-1690
Mailing Address
RUSSELL JOHN CROCKETT DMD
5533 E BELL RD STE 120
SCOTTSDALE, AZ 85254-1256
Phone number: