Organization
GARY D. KRUEGER, DDS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DOUGLAS KRUEGER D.D.S. (MAXILLOFACIAL PROSTHODONTIST)
(760) 479-0961
Entity
Organization
Contact information
Practice address
320 SANTA FE DR, SUITE 201, ENCINITAS, CA 92024-5138
(760) 479-0961
(760) 479-0963
Mailing address
320 SANTA FE DRIVE, SUITE 201, ENCINITAS, CA 92024-5140
(760) 479-0961
(760) 479-0963
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
42347
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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