Frederick Clyde Kruse, DDS

NPI #1124249958 in Oregon, Ohio

Provider Information

NPI Number
1124249958
Entity Type
Individual
Name
Frederick Clyde Kruse, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 1, 2007
Last Updated
Jul 28, 2008

Practice Location

Address
3015 NAVARRE AVE
Address 2
SUITE A
City
Oregon
State
Ohio
ZIP Code
43616-3398
Phone
(419) 693-8993

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

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Meckler Dental Providers (oregon), INC

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