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Individual

LINDA KREUTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(541) 484-1835
Mailing address
2515 S SCHOONER CREEK RD, LINCOLN CITY, OR 97367-9745

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2557
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277881
OR
Enumeration date
06/27/2007
Last updated
07/08/2007
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