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Individual

KRISTEN GUPTILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2815 GARFIELD RD N, TRAVERSE CITY, MI 49686-5005
(231) 947-4380
Mailing address
195 POTTER RD W, TRAVERSE CITY, MI 49696-8525
(917) 744-1078

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2295
ND
122300000X
Dentist
Primary
2901022840
MI
1223G0001X
General Practice Dentistry
105884
CA

Other

Enumeration date
03/27/2015
Last updated
11/07/2024
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