DR. Lance William Kruse, DDS

NPI #1205041431 in Winnetka, Illinois

Provider Information

NPI Number: 1205041431
Entity Type: Individual
Name: DR. Lance William Kruse, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 840 GREEN BAY RD
City: Winnetka
State: Illinois
ZIP Code: 60093-1864
Phone: (847) 446-3820

Specialties & Taxonomy Codes

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

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