Individual
DR. DANIEL A. KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
6208 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7893
(616) 656-4155
(616) 656-4156
Mailing address
6208 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7893
(616) 656-4155
(616) 656-4156
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901015087
MI
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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