Organization
MARK HULS D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRYAN HULS D.M.D. (ORTHODONTIST)
(217) 352-4334
Entity
Organization
Contact information
Practice address
481 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7230
(217) 352-4334
(217) 398-7837
Mailing address
481 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7230
(217) 352-4334
(217) 398-7837
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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