# GARY D. KRUEGER, DDS, APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225457328
- **Authorized official:** GARY DOUGLAS KRUEGER D.D.S. (MAXILLOFACIAL PROSTHODONTIST)
- **Authorized official phone:** (760) 479-0961

## Contact information

- **Practice address:** 320 SANTA FE DR, SUITE 201, ENCINITAS, CA 92024-5138
- **Practice address phone:** (760) 479-0961
- **Practice address fax:** (760) 479-0963
- **Mailing address:** 320 SANTA FE DRIVE, SUITE 201, ENCINITAS, CA 92024-5140
- **Mailing address phone:** (760) 479-0961
- **Mailing address fax:** (760) 479-0963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 42347 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014