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Organization
DR. CHARLES J. KRUSA, D.D.S.
Active
Organization
DR. CHARLES J. KRUSA, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOSEPH KRUSA D.D.S. (DENTIST)
(931) 484-3664
Entity
Organization
Contact information
Practice address
289 HIGHLAND SQ, CROSSVILLE, TN 38555-5105
(931) 484-3664
(931) 707-5640
Mailing address
289 HIGHLAND SQ, CROSSVILLE, TN 38555-5105
(931) 484-3664
(931) 707-5640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS2393
TN
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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