Provider Demographics
NPI:1548462450
Name:KREUZER, DONALD W (DONALD KREUZER)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:KREUZER
Suffix:
Gender:M
Credentials:DONALD KREUZER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 23RD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2701
Mailing Address - Country:US
Mailing Address - Phone:202-333-5683
Mailing Address - Fax:202-298-7760
Practice Address - Street 1:2506 VIRGINIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1902
Practice Address - Country:US
Practice Address - Phone:202-965-5400
Practice Address - Fax:202-298-7760
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC28481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice