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Individual

NEIL JOSEPH KRUGLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
15425 E ILIFF AVE, AURORA, CO 80013-1089
(037) 555-7683
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9120
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87626756
NM
05
885296
AZ
Enumeration date
06/21/2006
Last updated
03/05/2024
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