Individual
MEGHANNE ELIZABETH KRUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
427 E CRESCENT AVE, REDLANDS, CA 92373-6815
(951) 283-5827
Mailing address
407 BROOKSIDE AVE, REDLANDS, CA 92373-4609
(909) 335-3644
(909) 335-3641
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
55924
CA
Other
Enumeration date
12/18/2008
Last updated
10/07/2011
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