Krubsack, Benjaporn

Krubsack, Benjaporn is an individual health care provider with primary practice located at 515 Delaware St Se 6-320 Moos Health Science Tower, Minneapolis MN 55455. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Krubsack, Benjaporn can be contacted via phone (612) 626-0140.

Contact Information

Primary practice address
515 Delaware St Se 6-320 Moos Health Science Tower Minneapolis MN 55455
Phone: (612) 626-0140
Fax: (612) 626-0138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.033897 Illinois

Profile Details

NPI number 1700452042
LBN Legal business name Krubsack, Benjaporn
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2021
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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