Individual
DR. JON M KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S;P.C.
Contact information
Practice address
1739 S JEFFERSON AVE, LEBANON, MO 65536-3760
(417) 588-2562
(417) 588-2267
Mailing address
1739 S JEFFERSON AVE, LEBANON, MO 65536-3760
(417) 588-2562
(417) 588-2267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15323
MO
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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