Individual
DR. MICHAEL W. KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1413 N PORTLAND AVE, OKLAHOMA CITY, OK 73107-1521
(405) 942-0222
(405) 942-0271
Mailing address
1413 N PORTLAND AVE, OKLAHOMA CITY, OK 73107-1521
(405) 942-0222
(405) 942-0271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4696
OK
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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