Provider Demographics
NPI:1578622858
Name:MAJ-KRUSZYNSKI, DANUTA KRYSTYNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANUTA
Middle Name:KRYSTYNA
Last Name:MAJ-KRUSZYNSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PENMORE PL
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3983
Mailing Address - Country:US
Mailing Address - Phone:610-666-1145
Mailing Address - Fax:610-666-1145
Practice Address - Street 1:16 PENMORE PL
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3983
Practice Address - Country:US
Practice Address - Phone:610-666-1145
Practice Address - Fax:610-666-1145
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030856L1223G0001X
NY052689-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice