Gary D. Krueger, Dds, Apc | |
320 Santa Fe Dr Suite 201 Encinitas CA 92024-5138 | |
(760) 479-0961 | |
(760) 479-0963 |
Full Name | Gary D. Krueger, Dds, Apc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 320 Santa Fe Dr, Encinitas, California |
Authorized Official Name and Position | Gary Douglas Krueger (MAXILLOFACIAL PROSTHODONTIST) |
Authorized Official Contact | 7604790961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary D. Krueger, Dds, Apc 320 Santa Fe Drive Suite 201 Encinitas CA 92024-5140 Ph: (760) 479-0961 | Gary D. Krueger, Dds, Apc 320 Santa Fe Dr Suite 201 Encinitas CA 92024-5138 Ph: (760) 479-0961 |
NPI Number | 1225457328 |
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Provider Enumeration Date | 04/16/2014 |
Last Update Date | 04/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225457328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 42347 (New York) | Primary |
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