Organization
KRAUSE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KRAUSE D.M.D. (MEMBER)
(815) 603-5834
Entity
Organization
Contact information
Practice address
3247 EAST SR32, WESTFIELD, IN 46074
(815) 603-5834
Mailing address
234 HERITAGE LN, CARMEL, IN 46032-1663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011678A
IN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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