Individual
DR. KYLE ANDREW KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
212 N DAVENPORT ST, METAMORA, IL 61548-9395
(309) 367-2378
Mailing address
212 N DAVENPORT ST, PO BOX 920, METAMORA, IL 61548-9395
(309) 367-2378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-025832
IL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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