Organization
K & L OMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH E KRUEGER D.M.D. (OWNER)
(541) 617-3993
Entity
Organization
Contact information
Practice address
1475 SW CHANDLER AVE STE 101, BEND, OR 97702-3239
(541) 617-3993
(541) 617-0030
Mailing address
1475 SW CHANDLER AVE STE 101, BEND, OR 97702-3239
(541) 617-3993
(541) 617-0030
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D6629
OR
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
01/10/2023
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