Individual provider · Type 1 NPI

Leo Paul Krusack, DDS

General Practice Dentistry · Glen Ellyn, IL

NPI number 1689740334 Active

About NPI 1689740334

Leo Paul Krusack, DDS's National Provider Identifier is 1689740334, issued on Nov 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jul 8, 2007.