EDWARD A. KRUKOWSKI, DMD, PA
Dentist at Collins Ave, Miami, FL

License number
Florida DN11476
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. EDWARD A KRUKOWSKI DMD
Title: DENTIST
Phone: (305) 866-6662
Address
Address
9801 Collins Ave #C-102, Miami, FL 33154
National Provider ID: 1942692223
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD A. KRUKOWSKI, D.M.D., PA

9801 Collins Ave UNIT # C-102, Miami Beach, FL 33154

Industry:
Dentist's Office
Registration:
Jun 19, 1992
Phone:
(305) 866-6662 (Phone)
State ID:
V47297
Business type:
Florida Profit Corporation
Directors:
Edward A. Krukowski, D.m.d, 9801 Collins Ave #C-102, Miami Beach, FL 33154 (Physical),A. Krukowski D Edward (Director),Edward Krukowski Director, inactive
Agent:
Bejar Esther,1920 E Hallandale Bch Blvd SUITE 600 A, Hallandale, FL 33009 (Physical)
EIN:
65-0377236

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