Dr. Charles J. Krusa, D.d.s.
NPI #1134312226 in Crossville, Tennessee
Provider Information
- NPI Number
- 1134312226
- Entity Type
- Organization
- Organization Name
- Dr. Charles J. Krusa, D.d.s.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 22, 2007
- Last Updated
- Aug 22, 2007
Practice Location
- Address
- 289 HIGHLAND SQ
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-5105
- Phone
- (931) 484-3664
Authorized Official
- Name
- DR. CHARLES JOSEPH KRUSA, D.D.S.
- Title
- DENTIST
- Phone
- (931) 484-3664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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