Individual
DR. CHARLOTTE LORAINE KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24541 GRATIOT AVE., EASTPOINTE, MI 48021
(312) 274-0308
Mailing address
350 N CLARK ST, SUITE 600, CHICAGO, IL 60654-4712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021259
MI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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