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Individual

DR. AILEEN MARTY KRUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
260 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 872-7762
(615) 871-9152
Mailing address
260 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 872-7762
(615) 871-9152

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8244
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4095451
BCBST
TN
Enumeration date
10/02/2006
Last updated
07/08/2007
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