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1720164627
GARY MARTIN KRUPA
SACRAMENTO, CA
NPI
1720164627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 29333)
Additional Taxonomies
122300000X Dentist
(Licence: IL 019019237)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Dr. GARY MARTIN KRUPA DDS
2628 EL CAMINO C10
SACRAMENTO, CA 95821-5925
Phone number: 916-481-4242
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Mailing Address
Dr. GARY MARTIN KRUPA DDS
2628 EL CAMINO AVE C10
SACRAMENTO, CA 95821-5925
Phone number: 916-481-4242
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