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Organization
HARBORSIDE DENTAL PLLC
Active
Organization
HARBORSIDE DENTAL PLLC
Active
Other names
Harborside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID KRULL DDS (PARTNER)
(231) 946-0207
Entity
Organization
Contact information
Practice address
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684-5571
(231) 946-0207
Mailing address
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684-5571
(231) 946-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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