Breanna Kruckeberg, DMD
NPI #1518339118 in Madison Lake, Minnesota
Provider Information
- NPI Number
- 1518339118
- Entity Type
- Individual
- Name
- Breanna Kruckeberg, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 22, 2015
- Last Updated
- Mar 13, 2025
Practice Location
- Address
- 516 MAIN ST
- City
- Madison Lake
- State
- Minnesota
- ZIP Code
- 56063-2027
- Phone
- (507) 243-3747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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