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Individual

DR. MARK JOSEPH KRUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
2112 S EL CAMINO REAL, OCEANSIDE, CA 92054-6203
(760) 757-1554
(760) 757-8628
Mailing address
2112 S EL CAMINO REAL, OCEANSIDE, CA 92054-6203
(760) 757-1554
(760) 757-8628

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
32108
CA

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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