Kruckman Family Dentistry
Kruckman Family Dentistry is a Dental Clinic/Center in Waconia, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
141 Depot DrWaconia, MN 55387-1874
Phone: (952) 679-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1457134785 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jalissa Kruckman — Owner · (952) 679-4461 |
| Other names | Kruckman Family Dentistry |
| NPI enumerated | August 18, 2023 |
| Last updated in NPPES | August 18, 2023 |
| Certification date | August 18, 2023 |
| Mailing address | 141 Depot Dr, Waconia, MN 55387-1874 |