Individual
DR. JOHN WILLIAM CRETZMEYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1099 MOORE LAKE DR E, FRIDLEY, MN 55432-5153
(763) 586-9988
(763) 586-9977
Mailing address
1099 MOORE LAKE DR E, FRIDLEY, MN 55432-5153
(763) 586-9988
(763) 586-9977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8144
MN
Other
Enumeration date
11/07/2005
Last updated
01/20/2011
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