Cd Ohio Derrick Kruger Dds, Inc.

NPI #1720838550 in Ashtabula, Ohio

Provider Information

NPI Number
1720838550
Entity Type
Organization
Organization Name
Cd Ohio Derrick Kruger Dds, Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 25, 2024
Last Updated
Mar 25, 2024

Practice Location

Address
2010 W 19TH ST
State
Ohio
ZIP Code
44004-9709
Phone
(440) 992-2700

Authorized Official

Name
TY JUSTICE
Title
DIRECTOR, CREDENTIALING
Phone
(513) 808-4984

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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