Individual
DR. MARK HENRY KREUTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1724 NEBRASKA AVE, USA DENTAC, BLDG 1608, FORT LEONARD WOOD, MO 65473-8939
(573) 596-0369
Mailing address
1351 N LENNOX CT, SPRINGFIELD, MO 65802-2429
(417) 864-8031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012370
MO
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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