Dennis M Crockett, MD
Otolaryngology, Plastic Surgery within the Head & Neck in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1356362800
StatusActive
Last updated in NPPESNov 26, 2008
Details
- NPI
- 1356362800
- Entity type
- Individual (NPI-1)
- Name
- Dennis M Crockett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Nov 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | G42104 | CA | Yes |
Practice location
26726 Crown Valley Pkwy.Suite 200 Head & Neck Associates Of Orange County
Mission Viejo, CA 92691
Phone 949-364-4361 · Fax 949-364-4495
Mailing address
26726 Crown Valley Pkwy.Suite 200 Head & Neck Associates Of Orange County
Mission Viejo, CA 92691
Phone 949-364-4361 · Fax 949-364-4495
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