Jalissa Joy Kruckman, DDS is a general practice dentist in Waconia, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jalissa Joy Kruckman, DDS NPI is 1114238821. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
576 CHERRY DR
WACONIA, MN
ZIP 55387
Phone: (952) 679-4461
The enumeration date for this NPI number is 6/28/2010 and was last updated on 7/16/2018.