Organization
W KIRK KRUEGER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KIRK KRUEGER DDS (CEO DENTIST)
(706) 734-3098
Entity
Organization
Contact information
Practice address
176 CENTRAL AVE, TRION, GA 30753
(706) 734-3098
(706) 734-7410
Mailing address
176 CENTRAL AVE, TRION, GA 30753
(706) 734-3098
(706) 734-7410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009068
GA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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