Provider Demographics
NPI:1447857693
Name:LUIZA KREUZER DDS,PC
Entity type:Organization
Organization Name:LUIZA KREUZER DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIZA
Authorized Official - Middle Name:NICOLETA
Authorized Official - Last Name:KREUZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-379-0875
Mailing Address - Street 1:300 BROWNS HILL CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-9511
Mailing Address - Country:US
Mailing Address - Phone:804-379-0875
Mailing Address - Fax:
Practice Address - Street 1:300 BROWNS HILL CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-9511
Practice Address - Country:US
Practice Address - Phone:804-379-0875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty