Individual
DR. JONATHAN CARL 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
Mailing address
2220 GRUBE ST, SPRINGFIELD, OH 45503-2643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023934
OH
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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