Individual
MARK HULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
481 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7230
(217) 352-4334
Mailing address
481 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7230
(217) 352-4334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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