NPI 1013268002

Elizabeth J Crocker, RDH

Practitioner Dental Hygienist Brewster, MA

Practice location

Address: 103 Lake Shore Dr, Brewster, MA 02631-2429
Phone: (617) 571-1697

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 13434 (MA)

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Registry record

NPI: 1013268002
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2012
Record last updated: 1 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.