Organization
DR JOHN W CRETZMEYER JR DDS PA
Active
Other names
Dentistry for the Entire Family
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W CRETZMEYER JR. OWNER PRESIDENT (DDS)
(763) 586-9988
Entity
Organization
Contact information
Practice address
1099 EAST MOORE LAKE DRIVE, FRIDLEY, MN 55432
(763) 586-9988
(763) 586-9977
Mailing address
1099 EAST MOORE LAKE DRIVE, FRIDLEY, MN 55432
(763) 586-9988
(763) 586-9977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8144
MN
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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