Individual
MARK C KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
560 RIVERSIDE DR, SUITE A205, SALISBURY, MD 21801-4700
(410) 742-1688
Mailing address
560 RIVERSIDE DR, SUITE A205, SALISBURY, MD 21801-4700
(410) 742-1688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14026
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
09/16/2006
Last updated
10/05/2015
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