Individual
DR. JAY LYNN KRUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 NORTH BROADWAY, HOBART, OK 73651
(580) 726-2524
(580) 726-3425
Mailing address
PO BOX 779, HOBART, OK 73651-0779
(580) 726-2524
(580) 726-3425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4255
OK
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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