Individual
DR. MARRIELLE KONKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
706 W RANDALL ST # 1306, COOPERSVILLE, MI 49404-1308
(616) 837-6521
Mailing address
706 W RANDALL ST, COOPERSVILLE, MI 49404-1308
(616) 773-8717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601021
MI
Other
Enumeration date
06/16/2020
Last updated
02/19/2025
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