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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