Organization
DR EUGENE M KRUYSMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE M KRUYSMAN DMD (OWNER)
(603) 752-2013
Entity
Organization
Contact information
Practice address
301 PLEASANT ST, BERLIN, NH 03570-2046
(603) 752-2013
Mailing address
301 PLEASANT ST, BERLIN, NH 03570-2046
(603) 752-2013
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1624
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30314193
—
NH
Enumeration date
03/05/2008
Last updated
03/05/2008
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