DR. BENJAPORN KRUBSACK, DDS, MS
Dentist
Active
Individual
NPI: 1700452042
Practice Address
515 DELAWARE ST SE6-320 MOOS HEALTH SCIENCE TOWER
Minneapolis, MN 55455
Phone: (612) 626-0140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orofacial Pain | 1223X2210X | No | R785 (MN) |
| Dentist | 122300000X | Yes | 019.033897 (IL) |
Frequently Asked Questions
NPI 1700452042 is the National Provider Identifier for DR. BENJAPORN KRUBSACK, DDS, MS, a Dentist provider located in Minneapolis, MN. This NPI was enumerated on May 27, 2021.
DR. BENJAPORN KRUBSACK, DDS, MS practices at 515 DELAWARE ST SE, 6-320 MOOS HEALTH SCIENCE TOWER, Minneapolis, MN 55455.
Quick Facts
- NPI
- 1700452042
- Type
- Individual
- Enumerated
- May 27, 2021
- Last Updated
- Jul 21, 2022
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