Daniel W Krueger Aas PC
Dentist in West Lafayette, IN. Organization (NPI-2).
NPI number1508931205
StatusActive
Last updated in NPPESJul 8, 2008
Details
- NPI
- 1508931205
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel W Krueger Aas PC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12010165 | IN | Yes |
| 122300000X | Dentist | 12010165A | IN |
Other names
- Lifesmiles Dentistry (Doing Business As)
Practice location
928 N RobinsonLifesmile Dentistry
West Lafayette, IN 47906-2766
Phone 765-743-3779 · Fax 765-743-8767
Mailing address
928 N RobinsonWest Lafayette, IN 47906-2766
Phone 765-743-3779 · Fax 765-743-8767
Authorized official
Daniel W Krueger
Owner President
7657433779
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