Individual
DR. KENNETH R. KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4118 MCCULLOUGH AVE STE 4, SAN ANTONIO, TX 78212-1905
(210) 826-3946
(210) 826-6733
Mailing address
4118 MCCULLOUGH AVE STE 4, SAN ANTONIO, TX 78212-1905
(210) 826-3946
(210) 826-6733
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11753
TX
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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