Individual
DR. RICK E KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2460 LAKESHORE DR, ST JOSEPH, MI 49085
(269) 983-5583
(269) 983-5663
Mailing address
2460 LAKESHORE DR, ST JOSEPH, MI 49085
(269) 983-5583
(269) 983-5663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11585
MI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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