DR. John William Cretzmeyer JR., DDS

NPI #1164403267 in Fridley, Minnesota

Provider Information

NPI Number: 1164403267
Entity Type: Individual
Name: DR. John William Cretzmeyer JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 7, 2005
Last Updated: Jan 20, 2011

Practice Location

Address: 1099 MOORE LAKE DR E
City: Fridley
State: Minnesota
ZIP Code: 55432-5153
Phone: (763) 586-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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