Cd Ohio Derrick Kruger Dds, Inc.
NPI #1134844517 in Middletown, Ohio
Provider Information
- NPI Number
- 1134844517
- Entity Type
- Organization
- Organization Name
- Cd Ohio Derrick Kruger Dds, Inc.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 7, 2022
- Last Updated
- May 25, 2023
Practice Location
- Address
- 210 S BREIEL BLVD
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-5157
- Phone
- (513) 423-9239
Authorized Official
- Name
- TY JUSTICE
- Title
- DIRECTOR, CREDENTIALING
- Phone
- (513) 808-4984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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