Shannon Marie Kruckeberg is a Dental Hygienist in the CLAREMONT area. Shannon Marie Kruckeberg primary office location is at 63407 130TH AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003002882 and the information was updated approximately 15 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
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H6343 | MN |
Taxonomy | State | Primary? |
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Dental Hygienist - Taxonomy Code 124Q00000X | MN | Y |