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General NPI Number Information
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NPI Number | 1578241006
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Entity Type | Organization
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Legal Business Name | RIGA W KRUEGER DDS
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 3691 INDIAN LAKE RD
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City | NATIONAL CITY
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State | MI
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Zip | 48748-9641
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Country | US
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Telephone | 734-269-3615
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Fax |
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Provider Business Mailing Address
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Address Line | 47599 ABERDEEN DR
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City | NOVI
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State | MI
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Zip | 48374-3691
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Country | US
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Telephone | 248-921-0091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RIGA W KRUEGER
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Credential | DDS
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Telephone | 248-921-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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