Individual
JONATHAN G KRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, DMD
Contact information
Practice address
503 JACKSON ST, BELLE FOURCHE, SD 57717-1716
(605) 892-6347
(605) 892-9027
Mailing address
503 JACKSON ST, BELLE FOURCHE, SD 57717-1716
(605) 892-6347
(605) 892-9027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1119
SD
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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