Search › Minnesota › 122300000X
Benjaporn Krubsack, DDS, MS
NPI 1700452042 · on the registry since 2021
Practice
- Address
- 515 Delaware St Se
6-320 Moos Health Science Tower
Minneapolis, MN 55455 - Phone
- (612) 626-0140
- Fax
- (612) 626-0138
- Organisation at this address
- University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of MinnesotaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 214
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223X2210X
- Licence states on file
- MN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota