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Individual

DR. FREDRICK C KROGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2220 GRUBE ST, SPRINGFIELD, OH 45503-2643
(937) 390-3050
(937) 398-9840
Mailing address
2220 GRUBE ST, SPRINGFIELD, OH 45503-2643
(937) 390-3050
(937) 398-9840

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 014963
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0291278
OH
Enumeration date
03/09/2006
Last updated
07/08/2007
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