Spencer James Kruse DDS

NPI 1043467657 - Dentist - 122300000X

NPI Details
NPI 1043467657
Gender Male
Enumeration Date 08/26/2008
Last Updated 08/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6425 N KEYSTONE AVE
INDIANAPOLIS IN, 46220-2158, US
Phone (317) 255-2941
Fax (317) 255-1656
Business Location
6425 N KEYSTONE AVE
INDIANAPOLIS IN, 46220-2158, US
Phone (317) 255-2941
Fax (317) 255-1656
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12011139
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According to our database, Dr. Spencer James Kruse DDS NPI is 1043467657, taxonomy code is 122300000X and license number is 12011139, license state is located at Indiana. Spencer James Kruse DDS physically located at 6425 N Keystone Ave, Indianapolis IN, 46220-2158. NPI Number Spencer James Kruse DDS has the Individual type.

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1043467657 NPI number is provided on an as is basis without warranty of any kind. 1043467657 is maintained by the National Plan & Provider Enumeration System. The contents of Spencer James Kruse DDS are for informational purposes only.