Individual
DR. JEFFREY B KRUTOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
1405 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2995
(367) 655-3743
(336) 760-3066
Mailing address
237 CASTANO AVE, SAN ANTONIO, TX 78209-3747
(678) 313-0884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11132
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
31183
TX
Other
Enumeration date
04/29/2009
Last updated
06/19/2019
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