Organization
CORNERSTONE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L KRUSE DMD (OWNER/SOLE PROPRIETOR)
(541) 963-6445
Entity
Organization
Contact information
Practice address
10100 N MCALISTER RD, ISLAND CITY, OR 97850-8701
(541) 963-6445
(541) 963-9012
Mailing address
10100 N MCALISTER RD, ISLAND CITY, OR 97850-8701
(541) 963-6445
(541) 963-9012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7796
OR
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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