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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