Dr. Jay Lynn Kruska, DDS
Dentist, General Practice in Hobart, OK. Individual provider (NPI-1).
NPI number1629162425
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629162425
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Lynn Kruska
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4255 | OK | Yes |
Practice location
125 North BroadwayHobart, OK 73651
Phone 580-726-2524 · Fax 580-726-3425
Mailing address
Po Box 779Hobart, OK 73651-0779
Phone 580-726-2524 · Fax 580-726-3425
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