Individual
DR. GARETT NATHANIEL KRUSE BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1702 W INTERNATIONAL SPEEDWAY BLVD # 660, DAYTONA BEACH, FL 32114-1304
(386) 252-9600
Mailing address
1702 W INTERNATIONAL SPEEDWAY BLVD # 660, DAYTONA BEACH, FL 32114-1304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25267
FL
Other
Enumeration date
05/04/2020
Last updated
07/27/2020
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