Individual
DR. IAN JAMES KRUSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11111 NALL AVE, 106, LEAWOOD, KS 66211-1924
(913) 383-2600
Mailing address
11111 NALL AVE, 106, LEAWOOD, KS 66211-1924
(913) 383-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60654
KS
Other
Enumeration date
06/03/2009
Last updated
12/08/2015
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