Individual
GARY E KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
112 N 4TH ST, GENEVA, IL 60134-2125
(630) 232-4076
(630) 232-4077
Mailing address
112 N 4TH ST, GENEVA, IL 60134-2125
(630) 232-4076
(630) 232-4077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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