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Individual

DR. KRIS ALAN OVERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
902 10TH AVE, PORT HURON, MI 48060-3642
(810) 982-5528
(810) 982-7768
Mailing address
2850 CANAL DR, PORT HURON, MI 48060-2615
(810) 984-8772

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013622
MI

Other

Enumeration date
09/04/2006
Last updated
07/08/2007
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