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Organization

CD OHIO DERRICK KRUGER DDS, INC.

Active
Other names
The Healthy Smile Center
Organization subpart
No

Provider details

NPI number
Authorized official
TY JUSTICE (DIRECTOR, CREDENTIALING)
(513) 808-4984
Entity
Organization

Contact information

Practice address
2010 W 19TH ST, ASHTABULA, OH 44004-9709
(440) 992-2700
(440) 964-0542
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 808-4984
(513) 448-0511

Taxonomy

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

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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