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Individual

DR. DERRICK M KRUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4157 HUNT RD, CINCINNATI, OH 45236-1158
(513) 791-6154
(513) 791-1449
Mailing address
4157 HUNT RD, CINCINNATI, OH 45236-1158
(513) 791-6154
(513) 791-1449

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18774
OH

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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