| Doctor Name: | DANNY R. CROFT |
| NPI Number: | 1740470533 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LD |
| License Number: | DN00000447 |
| Business Practice Address: | 1298 Se 12th Street College Place, WA - 99324 |
| Business Phone Number: | 5095291469 |
| Business Fax Number: | 5095250387 |
| Mailing Address: | 1298 Se 12th Street, COLLEGE PLACE |
| State: | WA |
| Postal Code: | 99324 |
| Phone Number: | 5095291469 |
| Fax Number: | 5095250387 |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN00000447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |